ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Checking feet daily for sores and bruises is essential for diabetes management, as individuals with diabetes have a higher risk of foot complications due to reduced sensation and circulation.
Question 2 of 5
A common nursing diagnosis for a client in the immediate postoperative phase after transurethral resection of the prostate (TURP) is:
Correct Answer: B
Rationale: Acute pain related to bladder spasms is a common postoperative issue for TURP patients due to the urinary catheter and bladder irrigation. Managing pain is a priority for patient comfort and recovery.
Question 3 of 5
A nurse is caring for a client who is postoperative and whose respirations are shallow and 8/min. Which of the following acid-based imbalances should the nurse identify the client as being at risk for developing initially?
Correct Answer: A
Rationale: Respiratory acidosis occurs due to hypoventilation, which causes an accumulation of carbon dioxide in the blood, leading to increased acidity. Shallow respirations at a rate of 8 breaths per minute indicate hypoventilation, putting the client at risk for respiratory acidosis.
Question 4 of 5
The nurse is caring for a client who has prostate cancer. Which of the following manifestations is commonly associated with advanced prostate cancer?
Correct Answer: D
Rationale: Bone pain and fractures are common in advanced stages due to metastasis, particularly to the bones.
Question 5 of 5
The nurse documents that the client has a problem of fluid volume excess (FVE). Which intervention should the nurse include in the plan of care? Select all that apply.
Correct Answer: B,D
Rationale: B. Weighing the client daily is essential for monitoring fluid retention and the effectiveness of interventions. D. Restricting sodium in the diet helps prevent further fluid retention and supports management of FVE.