ATI RN
ATI n200 Med Surg Exam 6 Questions
Extract:
Question 1 of 5
During an intake assessment, a client with antisocial personality disorder uses profanity, sexual orientation slurs, and threatens to spit at the nurse. What is the MOST appropriate statement or querry for the nurse to make about the client's behavior?
Correct Answer: D
Rationale: Setting boundaries by acknowledging anger and stating that the behavior is unacceptable is the most effective response. Other options are confrontational, irrelevant, or defensive, potentially worsening the situation.
Question 2 of 5
The occupational health nurse is completing an assessment on an employee who has a history of type 2 diabetes, coronary artery disease, unstable angina, and gastroesophageal reflux disease (GERD). Which statement(s) should prompt the nurse to refer the employee for PROMPT evaluation of their cardiac status? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C
Rationale: Shortness of breath when lying flat, night sweats, and chest pain at night indicate potential cardiac issues like heart failure or angina, necessitating immediate evaluation.
Question 3 of 5
The nurse is assessing the status of a post-operative client in the PACU. The nurse should be most concerned with which assessment finding?
Correct Answer: D
Rationale: Increased restlessness can indicate pain, anxiety, or a worsening condition, such as hypoxia or bleeding, making it the most concerning finding requiring immediate attention. Hypoactive bowel sounds are common post-operatively, pain rated 7/10 is expected and manageable, and BP 110/70 with HR 86 are within normal limits.
Question 4 of 5
After having bariatric surgery, a client being discharged tells the nurse, 'I prefer to be independent. I'm not interested in joining a support group.' Which response by the nurse is best?
Correct Answer: A
Rationale: Highlighting the practical benefits of support groups encourages adherence to lifestyle changes without pressuring the client, respecting their autonomy.
Question 5 of 5
The nurse is assessing an alert and independent older client for the risk of malnutrition. What item is most appropriate to assess?
Correct Answer: C
Rationale: Describing a typical day's diet directly assesses nutritional intake, identifying deficiencies or risks for malnutrition. Other options are less direct.