ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer epoetin to a client who has anemia due to chemotherapy. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Monitoring hemoglobin levels before administering epoetin ensures safe and effective treatment, preventing complications like hypertension or thromboembolism if levels are too high.
Question 2 of 5
A nurse is admitting a client who has suspected appendicitis. Which of the following findings is the nurse's priority to report to the provider?
Correct Answer: A
Rationale: A distended, board-like abdomen can indicate peritonitis, a severe complication of appendicitis requiring immediate intervention to prevent sepsis.
Question 3 of 5
A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and is receiving 3% sodium chloride via continuous IV. Which of the following laboratory findings should the nurse identify as an indication that the SIADH is resolving?
Correct Answer: A
Rationale: A normal urine specific gravity (1.02) indicates appropriate water excretion, suggesting resolving SIADH, as concentrated urine is typical in active SIADH.
Question 4 of 5
A nurse is teaching a client who has glaucoma and is to start taking timolol. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Timolol, a beta-blocker, can cause systemic side effects like bradycardia, so monitoring heart rate is important.
Question 5 of 5
A nurse is caring for a client who is postoperative and reports frequent leakage of small amounts of urine. The nurse notes that the client's bladder is palpable upon examination. The nurse should identify these findings as which of the following forms of incontinence?
Correct Answer: D
Rationale: Overflow incontinence is characterized by frequent leakage of small amounts of urine due to an overfilled bladder that cannot empty completely. A palpable bladder indicates retention, consistent with overflow incontinence.