ATI RN
ATI n269 Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Checking for kinks in the tubing is the first step to identify and resolve simple obstructions.
Question 2 of 5
A nurse is caring for a client who has an indwelling urinary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations?
Correct Answer: C
Rationale: Prostate enlargement can cause blood-tinged urine due to urethral irritation.
Question 3 of 5
A nurse is reviewing the laboratory data of a client who has acute pancreatitis. Which of the following values should the nurse expect to be elevated?
Correct Answer: C
Rationale: Amylase levels are typically elevated in acute pancreatitis due to pancreatic inflammation, serving as a key diagnostic marker.
Question 4 of 5
A nurse is teaching a client who is preoperative for a colectomy. The client asks the nurse why he needs a large-bore NG tube. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The large-bore NG tube removes gas and fluid from the stomach to prevent distension and complications like nausea, vomiting, and aspiration.
Question 5 of 5
A nurse is caring for a client who has colorectal cancer and is recovering from surgery to redirect intestinal contents out of the body. Which of the following post-surgical manifestations require nursing intervention to avoid a serious complication?
Correct Answer: C
Rationale: Absent bowel sounds may indicate paralytic ileus or obstruction, requiring urgent intervention.