ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who is receiving chemotherapy and has a platelet count of 20,000 mm3. Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: Bleeding is the priority due to low platelets, risking hemorrhage. Fatigue, anorexia, and fever are less urgent but require attention.
Question 2 of 5
A nurse is planning to reinforce teaching with a client who has hemorrhoids. Which of the following information should the nurse plan to include in the instructions?
Correct Answer: A
Rationale: A high-fiber diet softens stools and reduces hemorrhoid strain. Stimulant laxatives may cause diarrhea. Alcohol wipes irritate tissue. Fruits prevent constipation.
Question 3 of 5
A nurse is monitoring a client for findings related to diabetes insipidus following a craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?
Correct Answer: D
Rationale: Increased urine output is a common finding in diabetes insipidus, as the lack of antidiuretic hormone (ADH) causes the kidneys to excrete large amounts of diluted urine. Hypertension may indicate increased intracranial pressure or other complications. Fluid retention may indicate syndrome of inappropriate antidiuretic hormone secretion (SIADH) or heart failure. Elevated blood glucose may indicate diabetes mellitus or hyperglycemia.
Question 4 of 5
What should the nurse do first when a client with a head injury begins to have clear drainage from the nose?
Correct Answer: D
Rationale: Collecting the drainage first helps identify if it is cerebrospinal fluid (CSF) or nasal secretions and monitors its characteristics. Compressing nares may increase intracranial pressure. Decongestants may mask CSF leakage. Tilting the head back may cause aspiration or infection.
Question 5 of 5
A nurse is reinforcing teaching about an endoscopy with a client who has dysphagia. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Remaining NPO for 6 to 8 hours before an endoscopy reduces aspiration risk and ensures a clear view. The tube is inserted through the mouth, not nose. No contrast dye is used; sedation is given. Clients are usually drowsy due to sedation.