ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has cholecystitis about required dietary modifications. Which of the following food choices should the nurse inform the client to include in his diet?
Correct Answer: D
Rationale: Roast turkey, low in fat and high in protein, is suitable for cholecystitis to prevent gallbladder attacks. Ice cream, blueberry muffins, and macaroni and cheese are high in fat and may trigger symptoms.
Question 2 of 5
A nurse is reviewing data for a client who has a head injury. Which of the following findings should indicate to the nurse that the client might have diabetes insipidus?
Correct Answer: A
Rationale: Urine output of 800 mL/hr indicates diabetes insipidus due to large amounts of diluted urine from ADH deficiency. Blood glucose of 198 mg/dL suggests diabetes mellitus. Serum sodium of 145 mEq/L is normal. Urine specific gravity of 1.028 indicates concentrated urine.
Question 3 of 5
A client admitted to a medical-surgical unit for surgery has a history of Cushing's syndrome. Which physical assessment finding would the nurse expect to observe?
Correct Answer: A
Rationale: Buffalo hump and moon face are expected in Cushing's syndrome due to fat redistribution from excess cortisol. Dry skin suggests hypothyroidism. Dry mucous membranes suggest dehydration. Exophthalmos and tachycardia suggest hyperthyroidism.
Question 4 of 5
A client with a fracture of the left arm that has been set in a cast complains of severe, diffuse pain that is unrelieved by pain medication. The nurse notes that the pulse distal to the site of injury has weakened and that the tissue is pale. Which of the following nursing actions should the nurse perform first?
Correct Answer: A
Rationale: Contacting the provider first addresses potential compartment syndrome, a medical emergency. Administering pain medication may mask symptoms. Documenting or elevating the extremity delays critical intervention.
Question 5 of 5
A home health nurse reinforces instructions to a client who is taking allopurinol for the treatment of gout. The nurse provides which client instructions?
Correct Answer: C
Rationale: Drinking 8 glasses of fluid daily prevents kidney stones and flushes uric acid. Ice packs or antihistamine lotions for swelling or rash require medical attention. Allopurinol should be taken after meals to avoid stomach upset.