Questions 69

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ATI RN Test Bank

ATI n269 Med Surg Comprehensive Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority?

Correct Answer: A

Rationale: Administering antibiotics is the priority intervention for acute osteomyelitis. The infection needs to be treated promptly to prevent further bone destruction and complications. Antibiotic therapy is essential in managing the infection and promoting healing.

Question 2 of 5

A nurse is performing a home safety assessment for a client who has experienced a stroke. Which of the following findings are a safety hazard for the client?

Correct Answer: A,B,E

Rationale: Dim lighting, a hot water heater set at 54°C (130°F), and area rugs are safety hazards for a stroke client. Dim lighting increases fall risk, high water temperature can cause burns, and area rugs are tripping hazards. Medications in a clear bag and grab bars are not hazards.

Question 3 of 5

Which intervention would the nurse implement as the priority when providing care for a patient with a ventriculostomy to measure increased intra-cranial pressure (ICP) caused by a brain tumor?

Correct Answer: B

Rationale: Strict aseptic technique with all procedural dressing changes is the priority intervention. A ventriculostomy is an invasive procedure that introduces the risk of infection, which can significantly worsen the patient's condition. Preventing infection is crucial for maintaining the integrity of the ventriculostomy and ensuring accurate ICP measurements.

Question 4 of 5

Which condition causes the formation of biliary sludge?

Correct Answer: C

Rationale: Bile stasis is the primary cause of biliary sludge. It occurs when bile remains in the gallbladder for an extended period, leading to the formation of thickened bile and sludge. Factors such as fasting, pregnancy, or liver disease can contribute to bile stasis.

Question 5 of 5

A nurse is caring for a client who just had a flexible bronchoscopy. Which of the following nursing actions is appropriate?

Correct Answer: A

Rationale: After a flexible bronchoscopy, the gag reflex may be temporarily impaired due to local anesthesia. It is important to withhold food and liquids until the gag reflex returns to prevent aspiration. This is the priority action to ensure the client's safety.

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