Questions 109

ATI RN

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ATI Med Surg Exam 9 Questions

Extract:


Question 1 of 5

A client arrives with an upper respiratory infection and complains of otalgia, malaise, and nasal drainage. The client's temperature is $100.7 \mathrm{~F}$. Which of the following will the nurse anticipate providing to the client?

Correct Answer: C

Rationale: Education on administration of oral antibiotics is appropriate as bacterial infections, indicated by fever and otalgia, are common in upper respiratory infections. Mastoidectomy education, hearing tests, and antifungal creams are not relevant for this condition.

Question 2 of 5

A nurse is performing a Weber test on a client who reports difficulty hearing in his left ear. The client informs the nurse that he can hear the tone louder in his left ear. Which of the following does this result indicate?

Correct Answer: B

Rationale: In the Weber test, hearing the tone louder in the affected ear (left) indicates conductive hearing loss, due to sound wave blockage in the outer or middle ear (
Choice
B). The test is not inconclusive, as it shows lateralization (
Choice
A). Normal hearing shows no lateralization (
Choice
C). Sensorineural hearing loss causes lateralization to the unaffected ear (
Choice
D).

Question 3 of 5

A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take? (Select all that apply)

Correct Answer: D,E

Rationale: Loosening restrictive clothing improves breathing and circulation, and placing a pillow under the head prevents injury. Placing the client supine risks aspiration, restraints can cause injury, and inserting a bite stick can damage teeth or obstruct the airway.

Question 4 of 5

A client arrives to the clinic with reports of progressive weakness in his lower extremities. Which of the following findings in the client's history is consistent with the client developing Guillain-Barre syndrome?

Correct Answer: D

Rationale: Reason: A facial tumor is not related to Guillain-Barre syndrome, which is an autoimmune disorder that affects the peripheral nerves. Reason: Pregnancy is not a risk factor for Guillain-Barre syndrome, although it can occur during or after pregnancy in rare cases. Reason: A puncture wound 3 weeks ago is unlikely to cause Guillain-Barre syndrome, which usually follows a respiratory or gastrointestinal infection. Reason: This is the correct answer because cytomegalovirus is one of the common infections that can trigger Guillain-Barre syndrome. It can cause inflammation and damage to the myelin sheath that covers the nerves.

Question 5 of 5

A nurse is teaching a client about diagnostic vision tests. The nurse should include that which of the following tests is performed to diagnose macular degeneration?

Correct Answer: A

Rationale: The Amsler grid test is used to diagnose macular degeneration by detecting distortions or missing areas in the grid, indicating damage to the macula.

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