ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is to undergo a liver biopsy. Which of the following instructions should the nurse provide to the client following the procedure?
Correct Answer: B
Rationale: Lying on the right side post-liver biopsy compresses the biopsy site, reducing bleeding risk and promoting clot formation.
Question 2 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 3 of 5
A nurse is caring for a client who has increased intracranial pressure (ICP). Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: Keeping the neck in a midline position helps ensure proper venous drainage from the brain, reducing intracranial pressure. This is a standard practice in managing patients with elevated ICP.
Question 4 of 5
A nurse is planning care for a client who has acute pancreatitis. Which of the following interventions should the nurse include in the client's plan? (Select all that apply.)
Correct Answer: B,E
Rationale: Monitoring blood glucose levels is essential due to potential pancreatic involvement affecting glucose regulation. Managing acute pain is critical for patient comfort and reducing pancreatic stress. Insulin drips are not universally required, regular diets are contraindicated, and prolonged NPO may not be standard per current guidelines.
Question 5 of 5
A nurse is providing discharge teaching to a client who has acute leukemia and received chemotherapy 12 hours ago. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,E
Rationale: Using an electric shaver reduces the risk of bleeding due to low platelet counts post-chemotherapy. Avoiding crowds minimizes infection risk in immunocompromised patients. Monitoring for bruising helps detect bleeding complications early. Taking temperature weekly is insufficient, and a low-residue diet is not typically necessary.