ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who had surgery 2 days ago and reports incisional pain. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Assessing the pain's characteristics and intensity first guides appropriate pain management interventions tailored to the client's needs.
Question 2 of 5
A nurse is initiating a plan of care for a client who has COPD. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: Pursed-lip breathing improves ventilation and reduces breathing effort in COPD patients, helping manage shortness of breath effectively.
Question 3 of 5
A nurse is assessing a client who has had a left-hemisphere stroke. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Expressive aphasia results from left-hemisphere strokes, impairing speech production due to damage in language areas.
Question 4 of 5
A nurse is providing discharge instructions to a client who has GERD. Which of the following statements by the client demonstrates an understanding of the teaching?
Correct Answer: D
Rationale: Limiting activities requiring bending at the waist reduces abdominal pressure, helping prevent acid reflux in GERD.
Question 5 of 5
A nurse is caring for a client who is postoperative and reports frequent leakage of small amounts of urine. The nurse notes that the client's bladder is palpable upon examination. The nurse should identify these findings as which of the following forms of incontinence?
Correct Answer: D
Rationale: Overflow incontinence is characterized by frequent leakage of small amounts of urine due to an overfilled bladder that cannot empty completely. A palpable bladder indicates retention, consistent with overflow incontinence.