ATI RN
ATI Detailed Answer Key Medical Surgical Questions
Question 1 of 5
What is the priority nursing action for this patient?
Correct Answer: D
Rationale: Fluid support and thiamine administration address potential dehydration and nutritional deficits in intoxicated patients.
Question 2 of 5
According to the Corbin and Strauss chronic illness trajectory, which statement describes a patient with an unstable condition?
Correct Answer: D
Rationale: An unstable condition reflects loss of control over symptoms and disease progression, indicating difficulty managing health effectively.
Question 3 of 5
What is the role of antiviral medications in treating herpes zoster ophthalmicus?
Correct Answer: A
Rationale: Antivirals target the varicella-zoster virus, reducing its replication and severity.
Question 4 of 5
A client has a new diagnosis of myasthenia gravis. For which of the following manifestations should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Weakness. Myasthenia gravis is characterized by muscle weakness due to an autoimmune attack on neuromuscular junctions. Monitoring for weakness is essential to assess disease progression and response to treatment. Confusion (A) is not a typical manifestation of myasthenia gravis. Increased intracranial pressure (C) is more commonly associated with conditions like head trauma or brain tumors. Increased urinary output (D) is not directly related to myasthenia gravis and is more indicative of conditions affecting the kidneys or fluid balance.
Question 5 of 5
A client with chronic obstructive pulmonary disease (COPD tells the nurse, 'I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up.' Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
Correct Answer: D
Rationale: The correct answer is D: Encouraging the client to drink 2 to 3 L of water daily. Increased fluid intake helps to thin out bronchial secretions, making them easier to cough up. Step-by-step rationale: 1. Increased water intake promotes hydration, which thins mucus in the airways. 2. Thinner mucus is easier to expectorate, aiding in clearing airway congestion. 3. Adequate hydration also helps to prevent dehydration, which can further thicken secretions. Summary: A: Maintaining a semi-Fowler's position may help with breathing comfort but does not directly address the issue of thick secretions. B: Administering oxygen is important for COPD patients but does not specifically target bronchial secretions. C: Selecting a low-salt diet is beneficial for managing fluid retention but does not directly address the issue of tenacious bronchial secretions.