ATI RN
ATI Nur201 FA2 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which manifestations of peritonitis?
Correct Answer: C
Rationale: Abdominal tenderness/pain is a key manifestation of peritonitis, indicating inflammation of the peritoneum.
Question 2 of 5
A client diagnosed with angina pectoris appears to be very anxious and states, 'So I had a heart attack, right?' Which response should the nurse make to the client?
Correct Answer: C
Rationale: Explaining that the client did not have a heart attack but emphasizing the importance of monitoring and managing chest pain provides accurate information and reassurance.
Question 3 of 5
A client received atropine intraoperatively for symptomatic sinus bradycardia during a cardiac catheterization. In the immediate postoperative period, the nurse monitors the client for which effects of the medication?
Correct Answer: A
Rationale: Atropine, an anticholinergic, can cause urinary retention by relaxing bladder smooth muscles, inhibiting voiding.
Question 4 of 5
The charge nurse observes a nurse performing interventions for a client who has just arrived in the post-anesthesia care unit following right cataract removal and intraocular lens implantation. Which intervention would require the charge nurse to intervene?
Correct Answer: D
Rationale: Encouraging the client to exercise with 20 lb weights one day post-operatively is inappropriate and requires the charge nurse to intervene. Strenuous activity can increase intraocular pressure and compromise the healing process after cataract surgery. The client should avoid heavy lifting and follow the post-operative care instructions provided by the healthcare team.
Question 5 of 5
A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directive. Which statement by the client indicates a need for clarification?
Correct Answer: C
Rationale: The statement that a family member must be chosen as the health care proxy is incorrect; any trusted individual can be selected.