ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative and reports frequent leakage of small amounts of urine. The nurse notes that the client's bladder is palpable upon examination. The nurse should identify these findings as which of the following forms of incontinence?
Correct Answer: D
Rationale: Overflow incontinence is characterized by frequent leakage of small amounts of urine due to an overfilled bladder that cannot empty completely. A palpable bladder indicates retention, consistent with overflow incontinence.
Question 2 of 5
A nurse is caring for a client who has active tuberculosis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Ensuring the door to the client's room is closed at all times is a critical measure in preventing the spread of TB. This action helps to contain the airborne bacteria within the room, reducing the risk of transmission to others in the healthcare facility. This is part of airborne precautions, which are essential for managing patients with active TB.
Question 3 of 5
A nurse is planning care for a client who has Ménière's disease and is experiencing episodes of vertigo. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: A low-sodium diet helps reduce fluid retention in the body, which can decrease the pressure in the inner ear and help manage the symptoms of Ménière's disease. Reducing sodium intake to 1,500-2,000 milligrams per day is often recommended.
Question 4 of 5
A nurse is caring for a client who has been experiencing repeated tonic-clonic seizures over the course of 30 minutes. After maintaining the client's airway and turning the client on their side, which of the following medications should the nurse administer?
Correct Answer: A
Rationale: Diazepam IV acts quickly to stop seizures, making it ideal for managing status epilepticus with rapid onset.
Question 5 of 5
A nurse is caring for a client who had surgery 2 days ago and reports incisional pain. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Assessing the pain's characteristics and intensity first guides appropriate pain management interventions tailored to the client's needs.