ATI RN
ATI Med Surg Exam Midterm RN 36 1125 Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who has significant issues with ascites related to end-stage liver disease. Which of the following precautions is most important for the nurse to include in the teaching?
Correct Answer: C
Rationale: Ascites can affect balance, increasing fall risk, making careful walking a critical safety precaution.
Question 2 of 5
A nurse is teaching a client who has hepatitis A about preventing the transmission of the virus. Which of the following strategies should the nurse include in the teaching?
Correct Answer: D
Rationale: Practicing effective hand hygiene is the most effective way to prevent the transmission of hepatitis A, which is spread through the fecal-oral route.
Question 3 of 5
A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment?
Correct Answer: B,C,E,F
Rationale: Frequency, flank pain, costovertebral tenderness, and urgency are common manifestations of pyelonephritis due to urinary tract irritation and kidney inflammation.
Question 4 of 5
A nurse is gathering medical history from a client admitted for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?
Correct Answer: C
Rationale: A history of UTIs is relevant to pyelonephritis, as the infection can ascend from the lower urinary tract to the kidneys. Recurrent UTIs are a risk factor for pyelonephritis.
Question 5 of 5
A female patient with a suspected urinary tract infection is to provide a clean-catch midstream urine specimen for culture and sensitivity testing. What should the nurse do to obtain the specimen?
Correct Answer: A
Rationale: This method is the standard procedure for obtaining a clean-catch midstream urine specimen. The initial voiding washes away organisms near the meatus, and the midstream urine is less likely to be contaminated by bacteria from the skin or urethral area.