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ATI RN Adult Medical Surgical 2023 Questions

Extract:


Question 1 of 5

A nurse is assessing a client who is postoperative following a transurethral resection of the prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Intermittent irrigation relieves bladder spasms by clearing clots or obstructions.

Question 2 of 5

A nurse is admitting a client who has neutropenia. Which of the following precautions should the nurse take?

Correct Answer: A

Rationale: Frequent vital sign monitoring helps detect early signs of infection in neutropenic clients.

Extract:

History and Physical
1000:

Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.

History:

Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.


Question 3 of 5

A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Select the findings below that would indicate that the client has a potential problem

Options Anticipated Nonessential Contraindicated
Client reports tightness in chest that radiates to left arm.
States pain as 7 on a scale of 0 to 10.
Started to feel nauseous after breakfast.
Client is diaphoretic and short of breath.
Heart rate is irregular and tachycardic.
Lungs clear to auscultation in all lobes.
Skin is cool to touch.

Correct Answer: A,B,C,D,E,G

Rationale: These findings suggest an acute cardiac event requiring immediate attention.

Extract:


Question 4 of 5

A nurse is providing discharge teaching to a client who had a bilateral orchiectomy. The nurse should instruct the client to expect which of the following symptoms?

Correct Answer: D

Rationale: Hot flashes occur due to decreased testosterone after bilateral orchiectomy.

Question 5 of 5

A nurse enters a client's room and observes the client having a tonic-clonic seizure. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Turning the client on their side is the first action to maintain airway patency and prevent aspiration during a tonic-clonic seizure.

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