ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A client diagnosed with contact dermatitis is receiving education from the nurse. Which of the following therapies will the nurse recommend to the client?
Correct Answer: D
Rationale: Avoidance is the best therapy for contact dermatitis as it involves identifying and eliminating exposure to the allergen or irritant, allowing the skin to heal and preventing further reactions.
Question 2 of 5
A nurse provides education to a client recently diagnosed with macular degeneration. Which of the following statements made by the client requires reinforcement of education by the nurse?
Correct Answer: C
Rationale: The statement about vision being restored with eye drops is incorrect, as eye drops do not treat macular degeneration or restore vision. This chronic condition causes progressive vision loss, and treatments like injections may only slow progression.
Question 3 of 5
A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. The nurse should identify which of the following risks as the priority for assessment and intervention?
Correct Answer: A
Rationale: Airway obstruction is the priority due to potential edema, inflammation, or inhalation injury in burns of the head, neck, and chest, which can compromise oxygenation and lead to respiratory failure.
Question 4 of 5
A nurse is assessing a client who is receiving total parenteral nutrition (TPN) therapy via an infusion pump. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Changing the IV tubing every 24 hours is recommended to prevent infection and maintain sterility, as TPN can support bacterial growth (
Choice
C). Blood glucose should be monitored every 4-6 hours, not every 12 hours, due to TPN's high-glucose content affecting blood sugar levels (
Choice
A). IV site dressings should be changed daily or as needed to prevent infection, not every 4 days (
Choice
B). The client should be weighed daily, not every other day, to assess fluid balance and nutritional status (
Choice
D).
Question 5 of 5
A nurse caring for a client with acute peritonitis reviews the physician's orders. The orders include an NPO diet, insertion of a nasogastric tube set to low intermittent suction, and IV fluids at 50 mL per hour. When asked why he will need the NG tube, what is the nurse's best reply?
Correct Answer: D
Rationale: The NG tube removes gastric secretions and decompresses the stomach, reducing abdominal distension and irritation in acute peritonitis, preventing complications like vomiting or aspiration.