ATI RN
ATI Med Surg Exam 6 Questions
Extract:
Question 1 of 5
A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?
Correct Answer: C
Rationale: Avoiding high-fat foods is essential for managing biliary colic in chronic cholecystitis, as fatty foods can trigger gallbladder contractions and exacerbate symptoms.
Question 2 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: C
Rationale: McBurney's point is located in the right lower quadrant, one-third of the distance from the anterior superior iliac spine to the umbilicus, and is a key assessment area for appendicitis.
Question 3 of 5
A nurse is caring for a patient with hepatic encephalopathy. The nurse's assessment reveals that the patient exhibits episodes of confusion, is difficult to arouse from sleep and has rigid extremities. Based on these clinical findings, the nurse should document what stage of hepatic encephalopathy?
Correct Answer: A
Rationale: Severe confusion, difficulty arousing, and rigid extremities indicate Stage 4 hepatic encephalopathy, the most advanced stage.
Question 4 of 5
The nurse's comprehensive assessment of a patient includes inspection for signs of oral cancer. What assessment finding is most characteristic of oral cancer in its early stages?
Correct Answer: A
Rationale: A painless sore with raised edges is a characteristic early sign of oral cancer, necessitating further investigation.
Question 5 of 5
A patient's new onset of dysphagia has required insertion of an NG tube for feeding; the nurse has modified the patient's care plan accordingly. What intervention should the nurse include in the patient's plan of care?
Correct Answer: C
Rationale: Confirming the placement of the NG tube prior to each medication administration is crucial to ensure safe and effective delivery of medications and nutrition, preventing complications such as aspiration.