ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). Which of the following complications is the priority for the nurse to monitor?
Correct Answer: B
Rationale: Hemorrhage is a significant risk after TURP and can be life-threatening. It is considered a priority because active bleeding can lead to shock and requires immediate intervention.
Question 2 of 5
A nurse in the emergency room is assessing a patient who was brought in following a seizure. The nurse suspects the patient may have bacterial meningitis when assessment findings include nuchal rigidity and a petechial rash rash. After implementing droplet precautions, which of the following actions should the nurse initiate next?
Correct Answer: B
Rationale: Decreasing environmental stimuli can help reduce the risk of seizures and is a supportive measure for a patient with suspected bacterial meningitis.
Question 3 of 5
A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 124/79 mm Hg places him in which of the following categories?
Correct Answer: A
Rationale: A blood pressure of 124/79 mm Hg is considered elevated, with systolic readings from 120-129 and diastolic less than 80 mm Hg.
Question 4 of 5
A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate to assess for pain at McBurney's point.
Correct Answer: A
Rationale: McBurney's point is located in the right lower quadrant of the abdomen, where tenderness is most likely to be maximal in cases of acute appendicitis.
Question 5 of 5
A nurse is teaching a client about the causes of biliary cirrhosis. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: Obstruction of the bile duct is a direct cause of biliary cirrhosis, leading to bile accumulation and liver damage.