ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Assessing for neck vein distention, blood glucose levels, daily weight, and irregular heart rate are appropriate for Cushing's syndrome due to fluid retention, hyperglycemia, weight gain, and potential electrolyte imbalances. Postural hypotension is not typical.
Question 2 of 5
A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was
Correct Answer: C
Rationale: Hoarseness is the earliest and most common symptom of laryngeal cancer. It occurs because the tumor affects the vocal cords, causing changes in the voice. This symptom often appears early in the disease process, especially in individuals with a history of smoking.
Question 3 of 5
Which assessment finding would the nurse expect in a patient diagnosed with acute pericarditis?
Correct Answer: D
Rationale: A pericardial friction rub is a hallmark sign of acute pericarditis. It occurs due to the inflammation of the pericardial layers, which rub against each other, producing a characteristic high-pitched, scratchy sound heard on auscultation.
Question 4 of 5
A nurse is caring for a client 4 hr following a cardiac catheterization. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: After a cardiac catheterization, the client is typically required to lie flat for several hours to prevent complications such as bleeding or hematoma formation at the catheter insertion site, especially if the femoral artery was used. This helps ensure the clotting process is not disturbed and reduces the risk of complications.
Question 5 of 5
A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during assessment? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Enlarged distal extremities, hepatomegaly, and coarse facial features are hallmark signs of acromegaly due to excess growth hormone. Loss of color discrimination and moon face are not typically associated with this condition.