ATI RN
ATI 24 Spns 126 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Using sterile technique, notifying the surgeon for bright red urine or clots, and ensuring tubing patency are critical to prevent infection, manage bleeding, and maintain irrigation effectiveness.
Question 2 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 has not been any urinary output in the last hour. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: Determining tubing patency is the first action to check for blockages, preventing complications like bladder distention.
Question 3 of 5
A nurse is caring for an older adult client who has left-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Frothy sputum is a symptom of left-sided heart failure due to pulmonary congestion and edema.
Question 4 of 5
A nurse is admitting a client who reports recurrent flank pain and nausea for 24 hr. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Administering pain medication is the priority to alleviate discomfort, allowing for further assessment and treatment.
Question 5 of 5
A nurse is reinforcing teaching for a client about following a low-purine diet to manage gout. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
Correct Answer: D
Rationale: Organ meats like liver are high in purines and should be eliminated to manage gout effectively, as purines increase uric acid levels.