ATI RN
ATI Med Surg Npro 2000 Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Decreasing fluid intake helps manage ascites by preventing further fluid accumulation in the peritoneal cavity.
Question 2 of 5
A nurse is monitoring a client who has a leaking cerebral aneurysm. Which of the following manifestations should indicate to the nurse that the client is experiencing an increase in intracranial pressure (ICP)? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Pupillary changes, disorientation, headache, and slurred speech are all signs of increased ICP due to brain compression or impaired function. Neck pain may indicate meningeal irritation but is less specific.
Question 3 of 5
A client has undergone surgery for the creation of burr holes after sustaining head trauma from a fall and is at risk for developing an infection. An early critical manifestation of meningeal irritation for which the nurse assesses the client is:
Correct Answer: C
Rationale: Brudzinski's sign, where neck flexion causes involuntary hip and knee flexion, is an early indicator of meningeal irritation post-head trauma.
Question 4 of 5
A nurse is caring for a client scheduled to receive external radiation to the neck for cancer of the larynx. During a pre-treatment exam, the nurse explains to the client that the most likely side effect would be:
Correct Answer: A
Rationale: Sore throat is the most likely side effect due to radiation-induced inflammation of laryngeal tissues.
Question 5 of 5
A nurse is teaching a client about self-administered peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Using a microwave to warm dialysis solution can cause uneven heating and damage the solution, requiring further teaching. A specialized warming device should be used.