ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Question 1 of 5
A patient has a nasogastric (NG) tube following esophagectomy. Following standards of practice, which of the following postoperative instructions should the nurse question the surgeon about?
Correct Answer: C
Rationale: A temperature under 100.5°F is not typically concerning post-surgery, so notifying the physician for this is unnecessary.
Question 2 of 5
A patient who has undergone an esophagectomy for esophageal cancer develops increasing pain, fever, and dyspnea when a full liquid diet is started postoperatively. The nurse recognizes that these symptoms are most indicative of:
Correct Answer: B
Rationale: Esophageal perforation with fistula formation causes pain, fever, and dyspnea due to leakage into the pleural space or lungs.
Question 3 of 5
A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective?
Correct Answer: A
Rationale: A decrease in the white blood cell count toward normal levels indicates that the infection is responding to antibiotic treatment. A WBC count of 6000/μL is within the normal range for adults (usually 4,000€“11,000/μL), suggesting the body is no longer fighting a significant infection.
Question 4 of 5
A nurse is caring for a client who has Crohn's disease and is receiving parenteral nutrition. Which of the following interventions should the nurse include in the care of this client?
Correct Answer: D
Rationale: Monitoring daily laboratory values assesses nutritional status and detects complications like electrolyte imbalances or liver dysfunction.
Question 5 of 5
A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to promote thinning of respiratory secretions?
Correct Answer: C
Rationale: Increasing fluid intake helps thin respiratory secretions by providing hydration, reducing the viscosity of sputum and aiding expectoration.