ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
The nurse is completing a health assessment of a client suspected of hyperthyroidism. Which of the following clinical manifestations should the nurse expect?
Correct Answer: C
Rationale: Tachycardia is common in hyperthyroidism due to increased heart rate from elevated thyroid hormone. Cold skin and weight gain suggest hypothyroidism. Anorexia may indicate other conditions like depression.
Question 2 of 5
What should the nurse do first when a client with a head injury begins to have clear drainage from the nose?
Correct Answer: D
Rationale: Collecting the drainage first helps identify if it is cerebrospinal fluid (CSF) or nasal secretions and monitors its characteristics. Compressing nares may increase intracranial pressure. Decongestants may mask CSF leakage. Tilting the head back may cause aspiration or infection.
Question 3 of 5
A nurse is planning to reinforce teaching with a client who has hemorrhoids. Which of the following information should the nurse plan to include in the instructions?
Correct Answer: A
Rationale: A high-fiber diet softens stools and reduces hemorrhoid strain. Stimulant laxatives may cause diarrhea. Alcohol wipes irritate tissue. Fruits prevent constipation.
Question 4 of 5
A nurse is reinforcing teaching for a client about following a low-purine diet to manage gout. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
Correct Answer: C
Rationale: Avoiding organ meats, high in purine, prevents gout flare-ups. Wine and red meat are high in purine. Fruits are low in purine and beneficial.
Question 5 of 5
A nurse is caring for a client who had a cholecystectomy and has a T-tube drain. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Fowler's position promotes bile drainage and prevents reflux. Transparent dressings trap moisture. Clamping causes bile accumulation. Securing to the gown risks displacement.