ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has acute pancreatitis. Which of the following interventions should the nurse include in the client's plan? (Select all that apply.)
Correct Answer: B,E
Rationale: Monitoring blood glucose levels is crucial due to potential pancreatic dysfunction affecting insulin production. Managing acute pain improves comfort and reduces stress on the pancreas. Insulin drips are not standard for all cases, regular diets are avoided, and prolonged NPO status may not align with current guidelines favoring early enteral feeding.
Question 2 of 5
A nurse is providing teaching to a client who is scheduled for a bone marrow biopsy taken from the iliac crest. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Acetaminophen is recommended for post-biopsy pain relief, effective with minimal bleeding risk compared to NSAIDs.
Question 3 of 5
A nurse is caring for a client who has active tuberculosis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Ensuring the door to the client's room is closed at all times is a critical measure in preventing the spread of TB. This action helps to contain the airborne bacteria within the room, reducing the risk of transmission to others in the healthcare facility. This is part of airborne precautions, which are essential for managing patients with active TB.
Question 4 of 5
A nurse is assessing a client who has Guillain-Barré syndrome. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: B
Rationale: Decreasing voice volume can indicate cranial nerve involvement and potential respiratory muscle weakness, which can lead to respiratory failure. This is an urgent finding requiring immediate attention.
Question 5 of 5
A nurse is providing discharge teaching to a client who is starting to take carbidopa/levodopa to treat Parkinson's disease. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Carbidopa/levodopa can cause the urine to turn a dark color, such as red, brown, or black. This is a harmless side effect but can be alarming to patients if they are not forewarned.