ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A client has a patch test performed with the following results. Which of the following is the best response the nurse will offer the client regarding the observations from the test?
Correct Answer: C
Rationale: The presence of erythema indicates an allergic reaction to the allergen, showing inflammation and irritation due to an immune response (
Choice
C). The test assesses contact dermatitis, not sun protection factor, which relates to sunscreen efficacy (
Choice
A). The test is not inconclusive, as it shows positive reactions for some allergens and negative for others (
Choice
B). Non-red areas indicate no reaction to the allergen, not low skin cancer risk, which is unrelated to patch testing (
Choice
D).
Question 2 of 5
A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: The Rinne test uses a tuning fork placed on the mastoid process and near the ear canal to compare air and bone conduction of sound. Earphones are used in audiometry, electrodes in EEG, and probes in tympanometry, none of which are part of the Rinne test.
Question 3 of 5
A client diagnosed with moderate Alzheimer's has been admitted to a long-term care facility. Which of the following are appropriate activities for the nurse to include in the care plan?
Correct Answer: C
Rationale: Listening to music, watching TV, or videos is appropriate as these activities are calming, familiar, and engaging for clients with moderate Alzheimer's, supporting emotional well-being without being overly complex or stimulating.
Question 4 of 5
A client with a new diagnosis of trigeminal neuralgia is receiving education to prevent triggering an acute onset. Which of the following will the nurse include in teaching?
Correct Answer: D
Rationale: Alternative therapies like yoga, biofeedback, or meditation can help manage stress and reduce triggers for trigeminal neuralgia, unlike actions that stimulate the face.
Question 5 of 5
A nurse is assessing a client who has a score of 6 on the Glasgow Coma Scale. The nurse should expect which of the following outcomes based on this score?
Correct Answer: A
Rationale: The client needs total nursing care is the expected outcome for a client who has a score of 6 on the Glasgow Coma Scale, which is a tool that measures the level of consciousness based on eye opening, verbal response, and motor response. A score of 6 indicates severe brain injury and coma, meaning that the client is unresponsive and dependent on others for all activities of daily living. Indicates stable neurologic status is not the expected outcome for a client who has a score of 6 on the Glasgow Coma Scale, which indicates severe brain injury and coma. A stable neurologic status means that there are no changes in the level of consciousness, vital signs, or neurological signs. The client has a decline in level of consciousness but is able to protect his airway is not the expected outcome for a client who has a score of 6 on the Glasgow Coma Scale, which indicates severe brain injury and coma. A decline in level of consciousness means that the client is less alert and responsive than normal, but still able to respond to stimuli and maintain airway patency. The client is alert and oriented is not the expected outcome for a client who has a score of 6 on the Glasgow Coma Scale, which indicates severe brain injury and coma. Alert and oriented means that the client is fully awake and aware of person, place, time, and situation.