Practice Question
A nurse is performing an abdominal assessment for a client. Which of the following findings should the nurse identify as the priority?
Answer Choices:
Correct Answer:
Rebound tenderness with palpation
Rationale:
✳️ Rebound tenderness is a sign of peritoneal irritation or inflammation, which could indicate conditions like appendicitis or peritonitis.
✳️ It reflects a surgical emergency, making it the priority finding.
✳️ Other findings are non-urgent and can be monitored, but rebound pain suggests potential intra-abdominal infection or rupture.
✳️ This requires immediate provider notification and diagnostic imaging.
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This question is from RN Adult Medsurg II~2023 which contains 86 questions.
More Questions from This Exam
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and has a referral for a dietary consult. The client tells the nurse, "I will have to eat whatever the dietitian tells me." Which of the following statements by the nurse encourages the client's involvement in their plan of care?
Answer Choices:
A. "I can assist you with making a list of foods you like for the dietitian."
B. "l understand that the dietary choices can seem overwhelming."
C. "Managing your diabetes will require you to make accommodations."
D. "The dietitian will provide you with the best food choices to manage your diabetes."
A patient is exhibiting an altered level of consciousness and is unresponsive to verbal stimuli. To elicit a response from a painful stimulus, the nurse would:
Answer Choices:
A. Press down on the orbital area of the eye.
B. Pinch the trapezius muscle.
C. Use a 25-gauge needle.
D. Elicit a reflex with a reflex hammer.
A hospice nurse is planning care for a client who has lung cancer. Which of the following statements should the nurse make to incorporate the clients and family's cultural beliefs?
Answer Choices:
A. "You should limit discussing past events with the client."
B. 'We will respect what is important to you.
C. "We will arrange all burial services."
D. "Grieving should not be done in front of the client."
A nurse is preparing to assist with an ocular irrigation for a client who had a chemical splash to the left eye. Which of the following actions should the nurse plan to take?
Answer Choices:
A. Irrigate the affected eye from the inner corner toward the outer corner.
B. Sit the client up with their head turned toward the right side.
C. Place a strip of pH paper under the upper lid of the affected eye.
D. Irrigate the affected eye using sterile water.
A nurse is caring for a client who has AIDS. Which of the following isolation precautions should the nurse implement?
Answer Choices:
A. Droplet precautions
B. Standard precautions
C. Airborne precautions
D. Contact precautions
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4