ATI RN
ATI Med Surg Pharm Comprehensive Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an indwelling urinary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations?
Correct Answer: D
Rationale: Blood-tinged urine in a client with an indwelling urinary catheter is concerning for a bladder infection, especially if accompanied by other signs like fever or foul odor.
Question 2 of 5
A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check?
Correct Answer: D
Rationale: Performing the final check at the client's bedside before administration ensures the correct medication is given to the correct client, preventing medication errors.
Question 3 of 5
A nurse is caring for four clients. Which of the following clients should the nurse identify as having the highest risk for aspiration?
Correct Answer: C
Rationale: A client receiving continuous enteral feeding through an NG tube is at the highest risk for aspiration due to the risk of feeding contents entering the airway.
Question 4 of 5
The nurse inspects the airway. There is no visible trauma, and the airway appears to be patent. What other assessment items are included in the primary survey? Select all that apply.
Correct Answer: B,D,F
Rationale: Assessment of circulation is critical in the primary survey to identify and manage life-threatening conditions such as shock or severe bleeding. Assessing ventilation is a crucial part of the primary survey. Exposure is part of the primary survey, ensuring that the client is completely exposed for a thorough assessment while protecting their privacy and warmth.
Extract:
Nurses' Notes
0800: Client reports abdominal pain that began the previous evening. Client is two weeks postoperative from a right knee replacement. Reports taking 3 to 4 hydrocodone tablets daily for postoperative pain. Has not had bowel movement in 4 days. Reports not drinking many fluids to avoid having "to get up and go to the bathroom so often because it hurts to walk."
0830: Client taken for abdominal x-ray. Partner reports that client has not been following physical therapist's exercise regimen of walking several times daily.
0915: Fecal mass of hard, dry stool removed digitally from client per provider's order.
1015: Provided teaching to client and partner about constipation and methods to avoid further impaction.
Diagnostic Results
0900:
Abdominal x-ray: Large amount of fecal material throughout the colon with rectal impaction. No evidence of small bowel obstruction.
Question 5 of 5
A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include?(Select all that apply.)
Correct Answer: C,D,E
Rationale: Including probiotic foods in the diet can help maintain a healthy gut flora, which is beneficial for digestion and preventing constipation. It is crucial to increase fluid intake, aiming for at least 1500 mL daily, to help soften the stool and support regular bowel movements. Increasing daily exercise, especially walking, can stimulate the muscles involved in the digestive process and help prevent constipation.