ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A client arrives to the emergency department complaining of acute onset of nausea with projectile vomiting. The nurse's assessment findings include high-pitched sounds in the left upper quadrant. Which gastrointestinal disorder is consistent with these findings?
Correct Answer: D
Rationale: Small bowel obstruction is consistent with nausea, projectile vomiting, and high-pitched bowel sounds in the left upper quadrant due to blockage in the small intestine.
Question 2 of 5
A client diagnosed with Barrett's esophagus asks how he developed this. Which of the following responses by the nurse is most accurate?
Correct Answer: B
Rationale: This is the correct answer because gastroesophageal reflux disorder (GER
D) is the most common risk factor for developing Barrett's esophagus. GERD causes stomach acid to flow back into the esophagus, leading to inflammation and cellular changes over time, resulting in Barrett's esophagus.
Question 3 of 5
A client newly diagnosed with glaucoma has a history of asthma. Which of the following medications newly prescribed by the eye doctor will the nurse question?
Correct Answer: B
Rationale: Reason: Antibiotics are not contraindicated for a client with glaucoma and asthma, as they can treat or prevent infections that may affect the eye or the respiratory system. Reason: This is the correct answer because non-selective beta blockers are contraindicated for a client with glaucoma and asthma, as they can reduce intraocular pressure but also cause bronchoconstriction and exacerbate asthma symptoms. Reason: NSAIDs are not contraindicated for a client with glaucoma and asthma, as they can reduce inflammation and pain that may affect the eye or the respiratory system. Reason: Anticoagulants are not contraindicated for a client with glaucoma and asthma, as they can prevent or treat thromboembolic events that may affect the eye or the respiratory system.
Question 4 of 5
A nurse is planning to provide discharge teaching for a client who has hearing loss. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Reason: This is incorrect because dimming the lights in the client's room is not a helpful action for providing discharge teaching for a client who has hearing loss. Dimming the lights can reduce the visibility and clarity of the nurse's facial expressions, gestures, and lip movements, which can aid in communication. Reason: This is incorrect because increasing the rate of speech when talking with the client is not an effective action for providing discharge teaching for a client who has hearing loss. Increasing the rate of speech can make it harder for the client to follow and understand what the nurse is saying. Reason: This is incorrect because answering client's questions using medical terminology is not an appropriate action for providing discharge teaching for a client who has hearing loss. Medical terminology can be confusing and unfamiliar to the client, which can impair comprehension and learning. Reason: This is the correct choice because facing the client while talking is an important action for providing discharge teaching for a client who has hearing loss. Facing the client can enhance eye contact, attention, and rapport. It can also allow the client to see the nurse's facial expressions, gestures, and lip movements, which can facilitate communication.
Question 5 of 5
A nurse is caring for a client who has an intracranial pressure (ICP) reading of 40 mm Hg. Which of the following findings should the nurse identify as a late sign of ICP? (Select all that apply.)
Correct Answer: B,E,F
Rationale: Bradycardia with bounding pulse, nonreactive dilated pupils, and hypotension with decreasing pulse pressure are late signs of ICP, associated with Cushing's triad and severe neurological compromise.