Question

A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following findings should the nurse expect?

Answer 1

Correct Answers:

Decreased urinary stream

Rationale :

🚽Benign prostatic hyperplasia (BPH) leads to enlargement of the prostate, which compresses the urethra and causes obstructive urinary symptoms.

🌊Clients typically report a weakened or decreased urinary stream, hesitancy, and incomplete bladder emptying.

❌Painful urination is more characteristic of infection, and while PSA levels can rise, "critically elevated" PSA is not diagnostic of BPH alone.

📉Urge incontinence is less common in BPH and usually indicates overactive bladder or neurogenic causes.

📌Core Message

Decreased urinary stream is a hallmark symptom of BPH due to urethral compression from an enlarged prostate.

Answer 2

Correct Answers:

Increased urine output

Rationale :

💦Diabetes insipidus (DI) often results from damage to the posterior pituitary or hypothalamus, causing ADH deficiency.

🚰This leads to the kidneys being unable to concentrate urine, resulting in polyuria and dehydration risk.

🧪Unlike diabetes mellitus, DI does not elevate glucose and typically causes hypotension, not hypertension.

🧊The body responds with intense thirst, but fluid retention is absent due to loss of ADH action.

📌Core Message

Increased urine output is the key sign of diabetes insipidus due to ADH deficiency post-craniotomy.

Answer 3

Correct Answers:

Heat intolerance
Diarrhea
Weight loss

Rationale :

🔥Hyperthyroidism accelerates metabolism, causing heat intolerance, diarrhea, and unexplained weight loss.

💨Increased thyroid hormone levels stimulate the GI tract, producing more frequent stools.

📉Clients may experience tachycardia, not bradycardia, due to increased sympathetic activity.

📈Weight gain and constipation are more consistent with hypothyroidism, the opposite condition.

📌Core Message

Hyperthyroidism causes metabolic acceleration, presenting with heat intolerance, diarrhea, and weight loss.

Answer 4

Correct Answers:

Maintain the client in a Fowlers position, with head neutral supported by pillows.

Rationale :

🛌Post-thyroidectomy positioning in high Fowler’s helps reduce swelling and airway obstruction.

💤A neutral head position prevents neck strain and protects the surgical site.

🚫Flexing the neck or placing sandbags may increase airway compromise or tension on sutures.

🩺The priority is airway maintenance, followed by monitoring for signs of hypocalcemia or bleeding.

📌Core Message

Proper Fowler's positioning after thyroidectomy helps ensure airway patency and wound protection.

Answer 5

Correct Answers:

After the procedure, you will be encouraged to drink plenty of fluids.

Rationale :

🧃An IV pyelogram (IVP) uses contrast dye to visualize the urinary tract via radiography.

🚽Clients should be encouraged to increase fluid intake post-procedure to flush out the contrast dye.

❌The presence of RBCs in urine is not a contraindication, and ultrasound (not IVP) uses sound waves.

🛏️There is no requirement for prolonged bed rest following an IVP unless complications occur.

📌Core Message

Encouraging fluids post-IVP promotes renal clearance of contrast dye and supports kidney function.

Answer 6

Correct Answers:

Nervousness

Rationale :

😰Hypoglycemia affects the central nervous system and triggers sympathetic nervous system activation, causing nervousness or anxiety.

🩺Other symptoms include shakiness, diaphoresis, tachycardia, and confusion.

🍬Warm skin and fruity breath are more characteristic of hyperglycemia or ketoacidosis, not low blood sugar.

❌Anorexia is not typically linked to acute hypoglycemia.

📌Core Message

Nervousness is a sign of hypoglycemia, reflecting adrenergic activation from low blood glucose.

Answer 7

Correct Answers:

Managing diarrhea

Rationale :

🚽In ulcerative colitis, the priority is managing frequent, bloody diarrhea, which risks fluid loss and electrolyte imbalance.

🧂Untreated diarrhea can lead to hypovolemia, dehydration, and impaired tissue perfusion.

🛏️Promoting rest is helpful but secondary to stabilizing fluid balance and GI control.

🔁Long-term goals like self-esteem and independence are important later in treatment, not during acute flare-ups.

📌Core Message

In acute ulcerative colitis, the priority is to control diarrhea and prevent complications like dehydration.

Answer 8

Correct Answers:

Weight gain
Constipation
Decreased energy

Rationale :

🐌Hypothyroidism slows the body’s metabolism, leading to fatigue, weight gain, and constipation.

🩺It also causes bradycardia and cold intolerance, not a rapid pulse or hypertension.

📉Clients may feel mentally slowed, with reduced concentration and low motivation.

🌡️Early identification is key to preventing myxedema coma, a life-threatening complication of severe hypothyroidism.

📌Core Message

Hypothyroidism presents with fatigue, weight gain, and constipation due to metabolic slowing.

Answer 9

Correct Answers:

Schedule periods of rest in between activities

Rationale :

🛋️In multiple sclerosis (MS), fatigue is a major disabling symptom that worsens with heat and overexertion.

📆Scheduled rest breaks help conserve energy and maintain functional independence.

🛁Warm baths may exacerbate symptoms due to heat sensitivity.

💊Multivitamins may support general health but are not primary fatigue interventions.

📌Core Message

Rest periods are vital for managing fatigue in clients with multiple sclerosis.

Answer 10

Correct Answers:

You will remain NPO for 8 hours before the procedure.

Rationale :

🥄Endoscopy requires NPO status to reduce aspiration risk during sedation and esophageal insertion.🧪A flexible scope is inserted through the mouth, not the nose, for esophageal visualization.

🧯It does not require contrast dye, unlike imaging studies like barium swallow.

😴Clients are usually sedated, so they are not awake during the procedure.

📌Core Message

NPO status is essential before an endoscopy to prevent aspiration during sedation.

ATI Med Surg 2019 Exam-2

No.

1 :
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following findings should the nurse expect?

2 :
A nurse is monitoring a client for findings related to diabetes insipidus following a craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?

3 :
Which of the following clinical manifestations should a nurse expect from a client with hyperthyroidism? SELECT ALL THAT APPLY

4 :
The nurse is caring for a client after a total thyroidectomy. The nurse’s priority should be to:

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?

6 :
The nurse should teach a diabetic client that which symptom is indicative of hypoglycemia?

7 :
Which goal for the clients care should take priority when caring for a client admitted due to exacerbation of ulcerative colitis?

8 :
A client has been diagnosed with hypothyroidism. What information should the nurse obtain when conducting a focused assessment? Select all that apply.

9 :
A client with multiple sclerosis is seen by the home health nurse and complains of severe fatigue. Which of the following is the most appropriate nursing intervention?

10 :
A nurse is reinforcing teaching about an endoscopy with a client who has dysphagia. Which of the following statements should the nurse include in the teaching?

ATI Med Surg 2019 Exam-2

No.

1 : A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following findings should the nurse expect?

2 : A nurse is monitoring a client for findings related to diabetes insipidus following a craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?

3 : Which of the following clinical manifestations should a nurse expect from a client with hyperthyroidism? SELECT ALL THAT APPLY

4 : The nurse is caring for a client after a total thyroidectomy. The nurse’s priority should be to:

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?

6 : The nurse should teach a diabetic client that which symptom is indicative of hypoglycemia?

7 : Which goal for the clients care should take priority when caring for a client admitted due to exacerbation of ulcerative colitis?

8 : A client has been diagnosed with hypothyroidism. What information should the nurse obtain when conducting a focused assessment? Select all that apply.

9 : A client with multiple sclerosis is seen by the home health nurse and complains of severe fatigue. Which of the following is the most appropriate nursing intervention?

10 : A nurse is reinforcing teaching about an endoscopy with a client who has dysphagia. Which of the following statements should the nurse include in the teaching?

1 :
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following findings should the nurse expect?

2 :
A nurse is monitoring a client for findings related to diabetes insipidus following a craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?

3 :
Which of the following clinical manifestations should a nurse expect from a client with hyperthyroidism? SELECT ALL THAT APPLY

4 :
The nurse is caring for a client after a total thyroidectomy. The nurse’s priority should be to:

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?

6 :
The nurse should teach a diabetic client that which symptom is indicative of hypoglycemia?

7 :
Which goal for the clients care should take priority when caring for a client admitted due to exacerbation of ulcerative colitis?

8 :
A client has been diagnosed with hypothyroidism. What information should the nurse obtain when conducting a focused assessment? Select all that apply.

9 :
A client with multiple sclerosis is seen by the home health nurse and complains of severe fatigue. Which of the following is the most appropriate nursing intervention?

10 :
A nurse is reinforcing teaching about an endoscopy with a client who has dysphagia. Which of the following statements should the nurse include in the teaching?