ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A client admitted with an acute exacerbation of Ménière's disease asks the student nurse why he was prescribed diphenhydramine. Which response by the student nurse requires correction by the primary nurse?
Correct Answer: A
Rationale: Ménière's disease is not caused by an allergic response; its cause is unknown but may involve fluid imbalance or infection. Diphenhydramine, an antihistamine with anticholinergic properties, correctly helps reduce nausea, vomiting, and promotes rest.
Question 2 of 5
A patient with a head injury opens his eyes to verbal stimulation, shouts out when stimulated, and does not respond to a verbal command to move but attempts to push away a painful stimulus. How would the nurse record the patient's Glasgow Coma Scale score?
Correct Answer: A
Rationale: The Glasgow Coma Scale score is 9: eye opening to verbal stimulation (3), shouting/confused speech (4), and withdrawing from pain (2). Scores of 11, 13, or 15 require higher responses in motor, verbal, or eye opening categories.
Question 3 of 5
A nurse is preparing to start an IV infusion of Lactated Ringer's for a client who sustained a burn injury. The client is prescribed 5,200 mL of fluid over the first 24 hr. How many milliliters of fluid will the client receive in the first 8 hours? Record your answer.
Correct Answer: 1733
Rationale: The client receives 1,733 mL in the first 8 hours, calculated as (5,200 mL / 24 hr) × 8 hr = 216.67 mL/hr × 8 = 1,733.33 mL, rounded to 1,733 mL.
Question 4 of 5
A client returns to the clinic for follow-up treatment after a skin biopsy of a suspicious lesion performed 1 week ago. The biopsy report indicates that the lesion is a melanoma. The nurse understands that melanoma has which characteristics? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Melanomas are asymmetrical, dark brown or black, have a high risk of metastasis, and are often in sun-exposed areas due to UV damage. Warm, red skin suggests inflammation, and pain is uncommon unless the lesion is ulcerated.
Question 5 of 5
A client's chart indicates that they are legally blind. Which of the following is the definition of legally blind?
Correct Answer: B
Rationale: Legal blindness is defined as a best-corrected visual acuity of 20/200 or worse in the better eye. Full vision loss in one eye, inability to see from 200 feet without lenses, or 20/60 impairment do not meet this criterion.