ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A client arrives with a pink eye that is itchy, swollen, and uncomfortable with a creamy discharge. Which of the following home care instructions will the nurse offer to the client?
Correct Answer: A
Rationale: Washing towels, sheets, and pillowcases prevents reinfection and transmission of conjunctivitis-causing bacteria or viruses (
Choice
A). Antifungal drops are ineffective, as conjunctivitis is typically bacterial or viral (
Choice
B). STI exams are irrelevant unless other STI symptoms are present (
Choice
C). Avoiding daylight is unnecessary; sunglasses can manage light sensitivity (
Choice
D).
Question 2 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 3 of 5
A nurse reviewing a client's chart reads that the client was observed having a complex partial seizure with automatisms of the face. What does the nurse understand this to mean?
Correct Answer: D
Rationale: Complex partial seizures involve focal brain activity with impaired awareness, and automatisms like lip-smacking are involuntary facial movements (
Choice
D). Losing bladder control is typical of generalized tonic-clonic seizures (
Choice
A). Fixed, dilated eyes are not specific to complex partial seizures (
Choice
B). Involuntary groaning is less characteristic than facial automatisms (
Choice
C).
Question 4 of 5
Which of the following is a feature of complex partial seizures?
Correct Answer: C
Rationale: Having involuntary facial movements, such as lipsmacking, is a feature of complex partial seizures. Complex partial seizures often originate from the temporal lobe and can cause automatisms like chewing, swallowing, or picking. Fixed and dilated eyes are associated with brain death or severe brain injury, not complex partial seizures. Involuntary groaning sounds are more typical of simple partial seizures, which do not impair awareness or cause automatisms.
Question 5 of 5
A nurse is performing a focused assessment for vision on a client suspected of having vision loss. Which cranial nerve is the nurse assessing when determining if there are visual field or visual acuity deficits?
Correct Answer: B
Rationale: Cranial Nerve II, the optic nerve, is responsible for transmitting visual information from the retina to the brain, affecting visual field and acuity. Cranial Nerve VIII is for hearing and balance, Cranial Nerve I is for smell, and Cranial Nerve VII is for facial expressions and taste, none of which affect vision.