ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about an endoscopy with a client who has dysphagia. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Remaining NPO for 6 to 8 hours before an endoscopy reduces aspiration risk and ensures a clear view. The tube is inserted through the mouth, not nose. No contrast dye is used; sedation is given. Clients are usually drowsy due to sedation.
Question 2 of 5
What should the nurse do first when a client with a head injury begins to have clear drainage from the nose?
Correct Answer: D
Rationale: Collecting the drainage first helps identify if it is cerebrospinal fluid (CSF) or nasal secretions and monitors its characteristics. Compressing nares may increase intracranial pressure. Decongestants may mask CSF leakage. Tilting the head back may cause aspiration or infection.
Question 3 of 5
The nurse is teaching a group of student nurses on the care of a client with Parkinson's disease. Which statement, if made by a student, indicates understanding of the topic?
Correct Answer: D
Rationale: Parkinson's is caused by dopamine depletion and acetylcholine excess, affecting movement control. Low acetylcholine suggests myasthenia gravis. Myelin sheath deterioration suggests multiple sclerosis. Excess dopamine is incorrect.
Question 4 of 5
A nurse is caring for a client who complains that he feels as though his ear is blocked and tells the nurse that he has a history of cerumen impaction in the external ear. The nurse, inspecting the ears for cerumen impaction, checks for which finding?
Correct Answer: B
Rationale: Yellowish or brownish waxy material indicates cerumen impaction. Edema suggests otitis externa. Redness of the tympanic membrane suggests otitis media. A longer canal is a normal variation.
Question 5 of 5
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Decreased urinary stream is a common finding in BPH, as the enlarged prostate compresses the urethra and obstructs the flow of urine. Painful urination may indicate a urinary tract infection or bladder stones. Critically elevated PSA level may indicate prostate cancer or prostatitis. Urge incontinence may indicate an overactive bladder or neurogenic bladder.