ATI RN
ATI Nur 285 Med Surg Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: A. Patency of the drainage tubing is crucial to prevent blockage and maintain continuous flow. B. Bright red urine or large clots could indicate bleeding, requiring immediate notification of the surgeon. D. Using sterile technique helps prevent infection in a postoperative patient. E. A continual urge to void could indicate bladder spasms or improper catheter placement, and the surgeon should be contacted.
Question 3 of 5
A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the following values should give the nurse the best indication of the client's renal function?
Correct Answer: D
Rationale: Serum creatinine is the best indicator of renal function, as it is produced from muscle metabolism and cleared by the kidneys; elevated levels indicate decreased renal function.
Question 4 of 5
The client received ten (12) units of regular insulin at 08:00. At 11:30 the unlicensed assistant personnel (UAP) tells the nurse the client has a headache and is really acting funny. Which intervention should the registered nurse implement first?
Correct Answer: B
Rationale: Assessing the client is the first step to confirm hypoglycemia and determine the severity, allowing for appropriate intervention.
Question 5 of 5
The client asks the nurse, 'how did I get this urinary tract infection?' the nurse should explain that in most instances, cystitis is caused by:
Correct Answer: C
Rationale: Urinary stasis (incomplete emptying of the bladder) can lead to bacterial growth, which is a common cause of cystitis.