ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 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 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 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 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 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.