ATI RN
ATI Adult Med Surg Nurs 4292 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a chest tube. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Taping connections maintains a closed system and prevents air leaks that could cause pneumothorax.
Question 2 of 5
A client who has a recent closed head injury reports a severe headache and is restless. Which of the following is an appropriate nursing intervention?
Correct Answer: B
Rationale: Elevating the HOB decreases intracranial pressure which may be causing the headache.
Question 3 of 5
The nurse is assessing for asterixis in a client with cirrhosis. How should the nurse assess for asterixis?
Correct Answer: B
Rationale: Asterixis (liver flap) is assessed by having patient extend arms and observing for involuntary flapping motions.
Question 4 of 5
The healthcare provider has determined that a client has contracted hepatitis A based on flu-like symptoms and jaundice. Which statement made by the client supports this medical diagnosis?
Correct Answer: B
Rationale: Hepatitis A is typically transmitted through contaminated food/water - shellfish is a known source.
Question 5 of 5
A nurse admits a client to the emergency department who reports nausea, vomiting, and epigastric pain that worsens when lying down. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?
Correct Answer: A
Rationale: Serum amylase rises quickly in acute pancreatitis due to pancreatic inflammation.