ATI RN
ATI RN Med Surg Custom Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client's provider?
Correct Answer: C
Rationale: Severe pain is not a normal postoperative symptom and should be reported to the provider.
Question 2 of 5
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Dehydration is a common symptom of diabetes insipidus due to excessive urination.
Question 3 of 5
A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Measuring the circumference of both upper arms is the correct first action. This will provide objective data about the extent of the swelling, which can then be reported to the healthcare provider.
Question 4 of 5
A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions?
Correct Answer: B
Rationale: Massaging the legs can dislodge a clot if one has formed, leading to a VTE.
Question 5 of 5
A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the following findings associated with urinary retention should the nurse expect?
Correct Answer: A,C,D,E
Rationale: A distended bladder is a common sign of urinary retention, which can occur with prostatic hypertrophy. Feeling pressure is a common symptom of urinary retention. Voiding small amounts frequently can be a sign of urinary retention. Tenderness over the symphysis pubis can be a sign of a distended bladder.