ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client diagnosed with laryngeal cancer who is postoperative following a laryngectomy. Which of the following is a clinical manifestation of a hemorrhage?
Correct Answer: B
Rationale: Continuous swallowing indicates hemorrhage, as blood accumulation in the throat stimulates the swallowing reflex. Increased pain may indicate inflammation or infection. Poor fluid intake may indicate dehydration. Drooling may indicate impaired oral control.
Question 2 of 5
A client admitted to a medical-surgical unit for surgery has a history of Cushing's syndrome. Which physical assessment finding would the nurse expect to observe?
Correct Answer: A
Rationale: Buffalo hump and moon face are expected in Cushing's syndrome due to fat redistribution from excess cortisol. Dry skin suggests hypothyroidism. Dry mucous membranes suggest dehydration. Exophthalmos and tachycardia suggest hyperthyroidism.
Question 3 of 5
A lumbar puncture is performed on a client with suspected bacterial meningitis, and cerebrospinal fluid (CSF) is obtained for analysis. The nurse determines that the diagnosis is confirmed if which findings are noted?
Correct Answer: D
Rationale: Cloudy CSF confirms bacterial meningitis due to infection and inflammation. High glucose suggests diabetes. Low protein may indicate malnutrition. Decreased CSF pressure suggests dehydration.
Question 4 of 5
The nurse should teach a diabetic client that which symptom is indicative of hypoglycemia?
Correct Answer: D
Rationale: Nervousness is a symptom of hypoglycemia, as low blood glucose affects the brain, causing anxiety, irritability, confusion, and tremors. Anorexia may indicate nausea or depression. Warm skin may indicate fever or inflammation. Fruity breath indicates ketoacidosis, a complication of hyperglycemia.
Question 5 of 5
A nurse notes that a client's serum potassium level is 6 mEq/L. The nurse interprets this as an expected finding in the client with which health problem?
Correct Answer: C
Rationale: Addison's causes high potassium due to insufficient aldosterone. Cushing's and diarrhea cause low potassium. Diabetes insipidus affects water, not potassium.