ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
An elder adult client has been successfully treated for a hemorrhoidectomy. Upon discharge, which statements made to the nurse by the client demonstrate an understanding of teaching? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Walking promotes bowel function, stool softeners prevent straining, and increased fluids aid hydration and soft stools. Frequent enemas can irritate the rectal area and disrupt healing.
Question 2 of 5
The nurse is caring for a client with suspected appendicitis. Nursing interventions for this client would include: (SELECT ALL THAT APPLY)
Correct Answer: A,B
Rationale: Withholding food/fluids prevents surgical complications, and prophylactic antibiotics reduce infection risk. Heating pads, enemas, and ambulation increase the risk of rupture or exacerbate pain.
Question 3 of 5
Urinary tract infections associated with indwelling catheters are a major component of hospital-associated infections. What must nurses do to help decrease the incidence of these infections in their clients? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D
Rationale: Clean technique, early catheter removal, avoiding catheterization, and adequate fluid intake reduce UTI risk. Keeping the bag at bladder level is incorrect; it should be below to prevent reflux.
Question 4 of 5
The nurse is caring for a client following an open (incisional) cholecystectomy. Which would be the PRIORITY nursing intervention?
Correct Answer: B
Rationale: Deep breathing exercises are the priority to prevent pulmonary complications like atelectasis post-cholecystectomy. Monitoring gag reflex, ambulation, and dietary discussions are important but secondary to respiratory management.
Question 5 of 5
The nurse suspects that the client hospitalized with severe ulcerative colitis, may be developing the complication of toxic megacolon. Which assessment finding supports these suspicions?
Correct Answer: C
Rationale: An enlarging abdominal girth indicates distension, a key sign of toxic megacolon due to colonic dilation. Tenesmus, hyperactive bowel sounds, and anal fissures are associated with ulcerative colitis or other conditions but are not specific to toxic megacolon.