ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is providing instructions to a newly licensed nurse about NG intubation for a client who is postoperative following a colectomy. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: An NG tube post-colectomy decompresses the stomach, reducing pressure and preventing vomiting to aid gastrointestinal healing.
Question 2 of 5
A nurse is caring for a client who has a cerebellar tumor. Which of the following actions is the nurse's priority?
Correct Answer: A
Rationale: Providing assistance with ambulation prevents falls due to ataxia, a common symptom of cerebellar tumors affecting coordination and balance.
Question 3 of 5
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should indicate to the nurse the need for immediate intervention?
Correct Answer: C
Rationale: A respiratory rate of 30/min is significantly elevated, indicating potential respiratory distress or neurological deterioration, requiring immediate intervention.
Question 4 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.
Question 5 of 5
A nurse is caring for a client who is using a ventilator when the low-pressure ventilator alarm sounds. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A low-pressure alarm typically indicates a disconnection or leak, so checking tubing connections is the first step to ensure proper ventilation.