ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Both ulcerative colitis and Crohn's disease are inflammatory bowel diseases causing chronic inflammation of the digestive tract.
Question 2 of 5
A home health nurse is teaching an older adult client who just had cataract surgery. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Keeping the head up and straight prevents increased intraocular pressure and bleeding post-cataract surgery.
Question 3 of 5
When providing information to a client in the rehabilitative phase of a burn injury, which of the following will the nurse identify as the goal?
Correct Answer: A
Rationale: Resuming a functional role in society is the ultimate goal in the rehabilitative phase, focusing on independence and quality of life. Pain management, support, and infection prevention are interventions, not goals.
Question 4 of 5
The nurse is providing care for a client with a recent transverse colostomy. Which observation requires immediate notification of the primary health care provider?
Correct Answer: B
Rationale: Reason: Soft pasty stool is normal for a transverse colostomy, as the stool has not reached the sigmoid colon where most of the water is absorbed. Reason: This is the correct answer because purple discoloration of the stoma indicates ischemia or necrosis, which can lead to infection, perforation, or sepsis. It requires urgent intervention. Reason: Stoma is beefy red is a normal finding for a healthy stoma, as it indicates adequate blood supply and healing. Reason: There is skin excoriation around the stoma is a common complication of a colostomy, as the stool can irritate the skin. It can be managed with proper skin care and appliance fitting.
Question 5 of 5
A client arrives to the clinic after spending the day at the beach. She reports extreme pain and the nurse observes red skin on her face and upper body. There are no blisters present. What degree of burn has the client suffered?
Correct Answer: A
Rationale: First degree burns affect only the epidermis, causing redness and pain without blisters, as described. Second degree burns cause blisters, third degree burns destroy all skin layers, and the burn can be classified based on the symptoms.