Questions 48

ATI RN

ATI RN Test Bank

ATI Capstone Adult Medical Surgical Assessment 1 Questions

Question 1 of 5

A nurse is caring for a client who has been experiencing repeated tonic-clonic seizures over the course of 30 minutes. After maintaining the client's airway and turning the client on their side, which of the following medications should the nurse administer?

Correct Answer: A

Rationale: In the scenario described, where the client has been experiencing repeated tonic-clonic seizures over an extended period, the priority is to administer a medication that can rapidly terminate the seizures. Diazepam is the medication of choice for status epilepticus due to its rapid onset of action within 10 minutes when administered intravenously. Lorazepam is also an option, but it is typically administered intravenously as well. Diltiazem is a calcium channel blocker used for conditions like hypertension and angina, not for seizures. Clonazepam, although used for seizures, is not the ideal choice in this acute situation due to its slower onset of action compared to benzodiazepines like diazepam and lorazepam.

Question 2 of 5

A home health nurse is providing teaching to the family of a client who has a seizure disorder. Which of the following interventions should the nurse include in the teaching?

Correct Answer: D

Rationale: The correct intervention for a client who has a seizure disorder is to position the client on their side during a seizure. This helps to prevent aspiration and ensures a patent airway. Keeping a padded tongue depressor near the bedside (
Choice
A) is not recommended as it can cause injury during a seizure. Placing a pillow under the client's head during a seizure (
Choice
B) is also not advised as it can obstruct the airway. Administering diazepam intravenously at the onset of seizures (
Choice
C) is not typically done at home without healthcare provider direction.

Question 3 of 5

A client who has burn injuries covering their upper body is concerned about their altered appearance. Which of the following statements should the nurse make?

Correct Answer: D

Rationale: The nurse should encourage the client to attend a support group for individuals who have burn injuries. Support groups can provide emotional support, shared experiences, and coping strategies for accepting their altered appearance.
Choice A is not the best response as it does not offer proactive support.
Choice B is not appropriate as the timing of cosmetic surgery should be determined by healthcare providers, not immediate.
Choice C is misleading as reconstructive surgery may improve appearance but may not completely restore the previous look.

Question 4 of 5

A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: The correct answer is B: 'Consume high-calorie foods.' Clients with COPD often have increased energy needs due to the work of breathing. Consuming high-calorie, high-protein foods can help provide the necessary energy and prevent weight loss.
Choice A is incorrect because eating three large meals daily may lead to increased shortness of breath due to a full stomach putting pressure on the diaphragm.
Choice C is incorrect because caffeinated drinks can contribute to dehydration, which is not ideal for clients with COPD.
Choice D is incorrect because drinking fluids during mealtime can cause bloating and early satiety, making it difficult for clients to consume enough calories.

Question 5 of 5

A nurse is teaching a group of clients about the risk factors for osteoporosis. Which of the following should the nurse include as a risk factor for osteoporosis?

Correct Answer: A

Rationale: The correct answer is A: Early menopause. A client who goes into early menopause, from natural or surgical causes, is at a greater risk for developing osteoporosis due to the rapid drop in estrogen levels.
Choice B, history of falls, is not a direct risk factor for osteoporosis but rather a risk for fractures related to osteoporosis.
Choice C, African American race, is actually associated with a lower risk of osteoporosis.
Choice D, obesity, is considered a protective factor against osteoporosis as excess weight can provide additional support to bones.

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