ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: After the procedure, drinking plenty of fluids helps flush out contrast dye and prevent dehydration and kidney damage. Red blood cells in urinalysis may require evaluation but not cancellation. High frequency sound waves are used in ultrasound, not IVP. Remaining flat for 4 hours is not required.
Question 2 of 5
The nurse is caring for a client who has a fractured tibia and is in a cast. Which of the following findings is a manifestation of compartment syndrome?
Correct Answer: B
Rationale: Slow capillary refill indicates compartment syndrome due to impaired blood flow from increased fascial pressure. Redness and warmth suggest infection. Reduced consciousness suggests other conditions. Pain and bleeding are not specific.
Question 3 of 5
A nurse reviewing the laboratory of a client who had a total thyroidectomy discovers that his calcium level is 7 mg/dL. Which of the following client findings should the nurse expect?
Correct Answer: D
Rationale: Muscle tetany is expected with low calcium (hypocalcemia) post-thyroidectomy due to nerve and muscle hyperexcitability. Hypertension, diaphoresis, and increased thirst suggest other conditions like renal disease or diabetes.
Question 4 of 5
A nurse is caring for a client who is receiving chemotherapy for treatment of ovarian cancer and experiencing nausea. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Providing an antiemetic 2 hours before chemotherapy prevents nausea effectively. Restricting food risks nutritional deficiencies. Carbonated beverages are less effective. Lying down may worsen nausea.
Question 5 of 5
Which goal for the client's care should take priority when caring for a client admitted due to exacerbation of ulcerative colitis?
Correct Answer: A
Rationale: Managing diarrhea is the priority to prevent dehydration, electrolyte imbalance, malnutrition, and infection. Rest and comfort, self-esteem, and self-care are important but not the priority during an acute exacerbation.