ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A client arrives to the emergency department after losing consciousness during a soccer game. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Calculating a Glasgow Coma Score is the first action to assess the client's level of consciousness based on eye opening, verbal response, and motor response. This helps determine the severity of potential brain injury and guides further interventions.
Question 2 of 5
A client is brought to the emergency department with partial-thickness burns to his face, neck, arms, and chest after trying to put out a car fire. The nurse should implement which nursing actions for this client?
Correct Answer: B,E,F
Rationale: Administering oxygen helps prevent hypoxia due to potential airway damage. Assessing the airway is critical to detect swelling or inhalation injury. Applying ice reduces pain and swelling but must be used cautiously to avoid tissue damage.
Question 3 of 5
A client with a newborn asks about the lesion on her child's head. After assessing the skin, which response will the nurse offer to the client?
Correct Answer: A
Rationale: The lesion is likely a hemangioma, a benign vascular tumor that typically resolves over time without intervention.
Question 4 of 5
A client who is suffering from an allergic reaction asks the nurse what can be done about the itching. Which of the following will the nurse provide to the client?
Correct Answer: A,B,E
Rationale: Avoiding scratching prevents skin damage and infection (
Choice
A). A moist cool compress soothes itching and reduces inflammation (
Choice
B). Avoiding hot air prevents worsening of itching and inflammation (
Choice E). Alcohol irritates and dries skin, worsening itching (
Choice
C). Using a wooden stick to scratch risks injury and infection (
Choice
D).
Question 5 of 5
A nurse is caring for a client diagnosed with an inner ear infection. Which of the following manifestations will the nurse expect the client to report?
Correct Answer: B
Rationale: Loss of balance is expected due to inflammation in the vestibular system of the inner ear, causing vertigo or dizziness. Inability to recognize words relates to the auditory cortex, cheek twitching to the facial nerve, and lack of air sound to the outer or middle ear.