ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Decreased urinary stream is a common finding in BPH, as the enlarged prostate compresses the urethra and obstructs the flow of urine. Painful urination may indicate a urinary tract infection or bladder stones. Critically elevated PSA level may indicate prostate cancer or prostatitis. Urge incontinence may indicate an overactive bladder or neurogenic bladder.
Question 2 of 5
A nurse is assisting with data collection of a client with suspected cholecystitis. Which finding does the nurse expect to note if cholecystitis is present?
Correct Answer: A
Rationale: Murphy sign, pain on palpation of the right upper quadrant during deep breathing, indicates cholecystitis. McBurney sign suggests appendicitis. Cullen's sign indicates intra-abdominal bleeding. Homan sign suggests deep vein thrombosis.
Question 3 of 5
A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there have not been any urinary output in the last hour. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: Determining tubing patency first addresses potential obstructions. Antispasmodics, notifying the provider, or offering fluids do not resolve the immediate issue.
Question 4 of 5
A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Encouraging 3 L of fluids daily helps flush stones and prevent new ones. Decreased urine output suggests obstruction. High protein diets increase stone risk. Bed rest may increase urinary stasis.
Question 5 of 5
A nurse reinforces instructions to a client with hypothyroidism about the dosage, method of administration, and side effects of levothyroxine sodium. Which statement by the client indicates an understanding of the nurse's instructions?
Correct Answer: C
Rationale: Calling the healthcare provider for a fast heart rate indicates understanding, as it may signal an overdose. Reducing the dose without consulting is incorrect. Diarrhea, insomnia, and sweating are overdose symptoms. Levothyroxine should be taken in the morning, not evening.