ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who had a cholecystectomy and has a T-tube drain. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Fowler's position promotes bile drainage and prevents reflux. Transparent dressings trap moisture. Clamping causes bile accumulation. Securing to the gown risks displacement.
Question 2 of 5
A nurse is reviewing data for a client who has a head injury. Which of the following findings should indicate to the nurse that the client might have diabetes insipidus?
Correct Answer: A
Rationale: Urine output of 800 mL/hr indicates diabetes insipidus due to large amounts of diluted urine from ADH deficiency. Blood glucose of 198 mg/dL suggests diabetes mellitus. Serum sodium of 145 mEq/L is normal. Urine specific gravity of 1.028 indicates concentrated urine.
Question 3 of 5
A lumbar puncture is performed on a client with suspected bacterial meningitis, and cerebrospinal fluid (CSF) is obtained for analysis. The nurse determines that the diagnosis is confirmed if which findings are noted?
Correct Answer: D
Rationale: Cloudy CSF confirms bacterial meningitis due to infection and inflammation. High glucose suggests diabetes. Low protein may indicate malnutrition. Decreased CSF pressure suggests dehydration.
Question 4 of 5
A nurse is collecting data from a client diagnosed with laryngeal cancer who is postoperative following a laryngectomy. Which of the following is a clinical manifestation of a hemorrhage?
Correct Answer: B
Rationale: Continuous swallowing indicates hemorrhage, as blood accumulation in the throat stimulates the swallowing reflex. Increased pain may indicate inflammation or infection. Poor fluid intake may indicate dehydration. Drooling may indicate impaired oral control.
Question 5 of 5
A nurse is planning to reinforce teaching with a client who has hemorrhoids. Which of the following information should the nurse plan to include in the instructions?
Correct Answer: A
Rationale: A high-fiber diet softens stools and reduces hemorrhoid strain. Stimulant laxatives may cause diarrhea. Alcohol wipes irritate tissue. Fruits prevent constipation.