ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 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 2 of 5
A nurse is monitoring a client who is receiving chemotherapy and has a platelet count of 20,000 mm3. Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: Bleeding is the priority due to low platelets, risking hemorrhage. Fatigue, anorexia, and fever are less urgent but require attention.
Question 3 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 4 of 5
The nurse is teaching a group of student nurses on the care of a client with Parkinson's disease. Which statement, if made by a student, indicates understanding of the topic?
Correct Answer: D
Rationale: Parkinson's is caused by dopamine depletion and acetylcholine excess, affecting movement control. Low acetylcholine suggests myasthenia gravis. Myelin sheath deterioration suggests multiple sclerosis. Excess dopamine is incorrect.
Question 5 of 5
A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: After the procedure, drinking plenty of fluids helps flush out contrast dye and prevent dehydration and kidney damage. Red blood cells in urinalysis may require evaluation but not cancellation. High frequency sound waves are used in ultrasound, not IVP. Remaining flat for 4 hours is not required.