ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
Which of the following would be the most appropriate nursing diagnosis for a client admitted with Addison's disease?
Correct Answer: D
Rationale: Risk for injury is appropriate for Addison's disease due to hypotension from adrenal insufficiency, risking falls or shock. Impaired skin integrity, fluid overload, and excess nutrition do not reflect the primary issue.
Question 2 of 5
A home health nurse reinforces instructions to a client who is taking allopurinol for the treatment of gout. The nurse provides which client instructions?
Correct Answer: C
Rationale: Drinking 8 glasses of fluid daily prevents kidney stones and flushes uric acid. Ice packs or antihistamine lotions for swelling or rash require medical attention. Allopurinol should be taken after meals to avoid stomach upset.
Question 3 of 5
A client with a fracture of the left arm that has been set in a cast complains of severe, diffuse pain that is unrelieved by pain medication. The nurse notes that the pulse distal to the site of injury has weakened and that the tissue is pale. Which of the following nursing actions should the nurse perform first?
Correct Answer: A
Rationale: Contacting the provider first addresses potential compartment syndrome, a medical emergency. Administering pain medication may mask symptoms. Documenting or elevating the extremity delays critical intervention.
Question 4 of 5
A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Encouraging 3 L of fluids daily helps flush stones and prevent new ones. Decreased urine output suggests obstruction. High protein diets increase stone risk. Bed rest may increase urinary stasis.
Question 5 of 5
When evaluating a client how to administer insulin, which action indicates that additional teaching is necessary?
Correct Answer: A
Rationale: Eating breakfast before injecting insulin risks hyperglycemia or hypoglycemia. Rotating sites, using proper syringes, and securing sharps are correct practices.