ATI RN
ATI RN Med Surg Custom Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alterations?
Correct Answer: D
Rationale: Cheyne-Stokes respirations are characterized by alternating periods of hyperventilation and apnea.
Question 2 of 5
A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection?
Correct Answer: A,B
Rationale: Localized edema is a common sign of infection. The body sends extra fluid to the area as part of the inflammatory response. An increase in neutrophils, a type of white blood cell, is a common response to infection. Neutrophils are part of the body's immune response and work to fight off invading bacteria.
Question 3 of 5
A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the following findings associated with urinary retention should the nurse expect?
Correct Answer: A,C,D,E
Rationale: A distended bladder is a common sign of urinary retention, which can occur with prostatic hypertrophy. Feeling pressure is a common symptom of urinary retention. Voiding small amounts frequently can be a sign of urinary retention. Tenderness over the symphysis pubis can be a sign of a distended bladder.
Question 4 of 5
A nurse is preparing to administer gabapentin 900 mg PO once daily for a client who has neuropathic pain. The amount available is gabapentin 300 mg/capsule. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 3
Rationale: The correct answer is 3 capsules. Calculation: 900 mg (desired dose) / 300 mg (available dose) = 3 capsules.
Question 5 of 5
A nurse is teaching a client who has fibrocystic breast condition (FBC) about strategies to minimize discomfort. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Limiting dietary intake of salt prior to menses can help reduce fluid retention and breast swelling, thus minimizing discomfort.