ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse is performing an integumentary assessment for a client. Which of the following findings should the nurse identify as possible squamous cell carcinoma?
Correct Answer: C
Rationale: Squamous cell carcinoma can present as a firm nodule with a hard, scaly crust on the skin.
Question 2 of 5
A nurse is caring for a client who is two hours postoperative following a transurethral resection of the prostate (TURP) gland. Which of the following assessments should the nurse view as an indication of a postoperative complication?
Correct Answer: B
Rationale: Burgundy colored urine can indicate bleeding in the urinary tract, a potential complication after TURP.
Question 3 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 a cyclic pattern of increasing and decreasing tidal volumes followed by periods of apnea, fitting the description provided.
Question 4 of 5
A nurse is developing a teaching plan for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: Assessing the client's current knowledge about managing diabetes is crucial as the first step to identify gaps and tailor education.
Question 5 of 5
A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate to assess for pain at McBurney's point.
Correct Answer: A
Rationale: McBurney's point is located in the right lower quadrant of the abdomen, where tenderness is most likely to be maximal in cases of acute appendicitis.