ATI RN
Adult Medical Surgical ATI Questions
Question 1 of 5
A client had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?
Correct Answer: A
Rationale: The correct answer is A: Poor impulse control. When a client has a stroke involving the right cerebral hemisphere, it can affect their ability to regulate emotions and impulses. The right hemisphere is responsible for inhibiting impulsive behavior, so damage to this area can lead to poor impulse control. This can manifest as impulsivity, lack of judgement, and difficulty controlling emotions. Summary of Incorrect Choices: B: Inability to discriminate words and letters - This is typically associated with left cerebral hemisphere damage, not right hemisphere. C: Deficits in the right visual field - This is associated with damage to the left occipital lobe, not the right hemisphere. D: Motor retardation - Motor functions are controlled by the opposite side of the brain, so right hemisphere damage would typically affect the left side of the body, not motor function in general.
Question 2 of 5
A client with chronic obstructive pulmonary disease is receiving dietary teaching from a nurse. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Limit fluid intake with meals. This instruction is important for a client with COPD because excessive fluid intake during meals can lead to increased stomach distention, which can worsen breathing difficulties. By limiting fluid intake with meals, the client can reduce the risk of feeling bloated and experiencing shortness of breath. A: Eating 3 balanced meals each day is generally a good recommendation, but it does not specifically address the needs of a client with COPD. C: Although reducing sodium intake can be beneficial for managing COPD, it is not as directly related to dietary considerations during meals. D: Taking a bronchodilator 1 hour before eating is not a dietary instruction and does not address the issue of fluid intake during meals.
Question 3 of 5
A client is postoperative following an intermaxillary fixation due to multiple facial fractures. Which type of equipment should be at the client's bedside?
Correct Answer: A
Rationale: The correct answer is A: Wire cutters. In postoperative intermaxillary fixation, wire cutters are essential at the bedside in case of an emergency airway obstruction or need for immediate removal of the fixation. Wire cutters allow quick access to the airway without causing harm to the client. B: NG tube is not necessary for postoperative intermaxillary fixation. C: Urinary catheter tray is not directly related to the client's airway or fixation. D: IV infusion pump is not specifically required for managing intermaxillary fixation emergencies. In summary, wire cutters are crucial for ensuring client safety and airway management in postoperative intermaxillary fixation, making it the most appropriate equipment to have at the bedside.
Question 4 of 5
A client in the late stage of inhalation anthrax requires a plan of care. What is appropriate to include in the plan of care?
Correct Answer: A
Rationale: Step 1: Inhalation anthrax causes severe respiratory distress. Step 2: Providing respiratory support helps maintain oxygenation. Step 3: Oxygen therapy or mechanical ventilation may be needed. Step 4: This choice directly addresses the critical needs of the client. Summary: - B: Droplet isolation is not needed as anthrax is not transmitted person-to-person. - C: Antihypertensive medications are irrelevant to inhalation anthrax treatment. - D: Ascites monitoring is not a priority in late-stage inhalation anthrax.
Question 5 of 5
During pulmonary hygiene for a client with pneumonia, a nurse positions the client on his left side in Trendelenburg position. From which of the following lung segments should the nurse expect secretions to be mobilized with the client in this position?
Correct Answer: B
Rationale: The correct answer is B: Lateral segment of the right lower lobe. In Trendelenburg position on the left side, gravity helps drain secretions from the right lung's lateral segments more effectively. The right lower lobe's lateral segment is the most dependent part of the lung in this position, facilitating secretion mobilization. Choices A, C, and D are incorrect because they do not align with the gravitational effect in Trendelenburg position on the left side, making secretion mobilization less efficient in those segments.