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ATI Nur201 FA2 Med Surg 2 Exam Questions

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Question 1 of 5

A nurse is caring for a child who has otitis media with effusion. The nurse should identify that which of the following manifestations indicates a tympanic membrane rupture?

Correct Answer: D

Rationale: Green-blue discharge in the ear canal is a classic sign of a tympanic membrane rupture. This discharge is usually pus mixed with blood from the middle ear and indicates that the membrane has ruptured, allowing the fluid to drain out.

Question 2 of 5

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which manifestations of peritonitis?

Correct Answer: C

Rationale: Abdominal tenderness/pain is a key manifestation of peritonitis, indicating inflammation of the peritoneum.

Question 3 of 5

A nurse is preparing to discharge an older adult patient who had a mastectomy several months ago. The client tells the nurse that she has not had much desire for sexual relations since her surgery, stating, 'my body is so different now.' Which of the following is an appropriate response by the nurse?

Correct Answer: D

Rationale: Expressing interest in how the client's body feels to her validates her feelings and opens up a dialogue for her to share her concerns. This approach is empathetic and supportive.

Question 4 of 5

A nurse is discussing gout with a client concerned about developing the disorder. What should the nurse identify as risk factors for the disease? (Select all that apply)

Correct Answer: A,C,D

Rationale: A high purine diet, diuretic use, and starvation dieting increase uric acid levels, contributing to gout risk. Being well-hydrated and having a normal BMI reduce risk.

Question 5 of 5

A nurse is caring for an older adult client who states, 'I am afraid that I may fall while walking to the bathroom during the night.' Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Obtaining a bedside commode allows the client to void safely without walking to the bathroom, reducing the risk of falls.

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A client is brought into the emergency room with sudden severe complaints of eye pain, blurred and decreased visual acuity, and extreme pressure in their eyes. The nurse would most likely suspect the client to have:

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