ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assisting with data collection of a client with suspected cholecystitis. Which finding does the nurse expect to note if cholecystitis is present?
Correct Answer: A
Rationale: Murphy sign, pain on palpation of the right upper quadrant during deep breathing, indicates cholecystitis. McBurney sign suggests appendicitis. Cullen's sign indicates intra-abdominal bleeding. Homan sign suggests deep vein thrombosis.
Question 2 of 5
A nurse is collecting data from a client who has a urinary tract infection. Which of the following findings should the nurse expect? Select all that apply.
Correct Answer: A,D,E
Rationale: Cloudy urine, urinary frequency, and dysuria indicate a urinary tract infection due to bacteria, bladder irritation, and pain. Muscle tetany suggests hypocalcemia. Calculi may complicate but are not a direct finding.
Question 3 of 5
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning blood glucose level as 310 mg/dL instead of 103 mg/dL and administered the insulin dose appropriate for a reading over 300 mg/dL. Which of the following actions should the nurse identify as the priority?
Correct Answer: D
Rationale: Giving 15 to 20 g of carbohydrate prevents hypoglycemia from insulin overdose. Calling the supervisor, reporting, or checking glucose delays treatment.
Question 4 of 5
Which of the following clinical manifestations should a nurse expect from a client with hyperthyroidism? SELECT ALL THAT APPLY
Correct Answer: A,B,C
Rationale: Heat intolerance, diarrhea, and weight loss are common findings in hyperthyroidism due to increased metabolic rate, gastrointestinal motility, and calorie burning. Weight gain may indicate hypothyroidism or Cushing's syndrome. Bradycardia may indicate heart block or beta-blocker use.
Question 5 of 5
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Decreased urinary stream is a common finding in BPH, as the enlarged prostate compresses the urethra and obstructs the flow of urine. Painful urination may indicate a urinary tract infection or bladder stones. Critically elevated PSA level may indicate prostate cancer or prostatitis. Urge incontinence may indicate an overactive bladder or neurogenic bladder.