ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Question 1 of 5
The nurse is changing the subclavian dressing of a client who is receiving total parenteral nutrition. When assessing the catheter insertion site, the nurse noticed the presence of a yellow drainage from around the sutures that are anchoring the catheter. Which actions should the nurse take first?
Correct Answer: C
Rationale: Obtaining a culture identifies potential infection, applying a sterile dressing maintains cleanliness, and monitoring prevents complications.
Question 2 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 3 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.
Question 4 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 5 of 5
A patient with anorexia nervosa shows signs of malnutrition and is prescribed parenteral nutrition. If the client develops refeeding syndrome, what laboratory tests does the nurse expect the healthcare provider to order? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Monitoring serum phosphorus, calcium, potassium, and magnesium is crucial to detect electrolyte imbalances associated with refeeding syndrome.