ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
The nurse is caring for a client after a total thyroidectomy. The nurse's priority should be to:
Correct Answer: B
Rationale: Maintaining the client in a Fowler's position, with head neutral supported by pillows, helps reduce swelling and edema, prevent airway obstruction, and promote venous drainage. Coughing with neck flexed may increase bleeding risk. Supine position with sandbags may impair breathing and circulation. Turning head side to side may disrupt sutures or increase infection risk.
Question 2 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 3 of 5
The nurse should teach a diabetic client that which symptom is indicative of hypoglycemia?
Correct Answer: D
Rationale: Nervousness is a symptom of hypoglycemia, as low blood glucose affects the brain, causing anxiety, irritability, confusion, and tremors. Anorexia may indicate nausea or depression. Warm skin may indicate fever or inflammation. Fruity breath indicates ketoacidosis, a complication of hyperglycemia.
Question 4 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.
Question 5 of 5
A client has been diagnosed with hypothyroidism. What information should the nurse obtain when conducting a focused assessment? Select all that apply.
Correct Answer: A,B,D
Rationale: Weight gain, constipation, and decreased energy are common in hypothyroidism due to slowed metabolism, reduced gastrointestinal motility, and fatigue. Rapid pulse may indicate hyperthyroidism or anxiety. Hypertension may indicate renal or cardiovascular disease.