ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?
Correct Answer: B
Rationale: Pale pink urine is expected as some bleeding is normal following a transurethral prostatectomy.
Question 2 of 5
A nurse in the emergency department is caring for a client who was injured in a motor-vehicle crash. The client reports dyspnea and severe pain. The nurse notes that the client's chest moves inward during inspiration and bulges out during expiration. The nurse should identify this finding as which of the following?
Correct Answer: B
Rationale: Flail chest is characterized by paradoxical chest movement where a segment of the chest wall moves inward during inspiration and outward during expiration.
Question 3 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Increased respiratory rate can occur as the body tries to compensate for fluid overload, which may affect lung function and cause respiratory distress. Increased blood pressure is a common finding in fluid overload due to increased blood volume in the circulatory system. Increased heart rate can occur as the body compensates for increased blood volume and higher blood pressure.
Question 4 of 5
A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following actions should the nurse take when caring for the client's Jackson-Pratt (JP) drain?
Correct Answer: B
Rationale: Expelling the air from the JP bulb after emptying to re-establish suction is necessary to ensure that the drain continues to function correctly by maintaining negative pressure.
Question 5 of 5
A nurse on a telemetry unit is caring for a client who has premature ventricular contractions (PVCs). While sitting in a chair, the client reports feeling lightheaded. If the client is having PVCs, which of the following findings should the nurse expect when auscultating the client's apical pulse?
Correct Answer: A
Rationale: Irregular pulsations are expected with PVCs because they cause occasional early beats that disrupt the regular rhythm of the pulse.