ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A client is brought to the emergency department with partial-thickness burns to his face, neck, arms, and chest after trying to put out a car fire. The nurse should implement which nursing actions for this client?
Correct Answer: B,E,F
Rationale: Administering oxygen helps prevent hypoxia due to potential airway damage. Assessing the airway is critical to detect swelling or inhalation injury. Applying ice reduces pain and swelling but must be used cautiously to avoid tissue damage.
Question 2 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 3 of 5
A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client's risk of aspiration pneumonia?
Correct Answer: D
Rationale: Sitting the client upright at 90 degrees during feeding helps gravity direct food away from the lungs, reducing the risk of aspiration pneumonia.
Question 4 of 5
A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support?
Correct Answer: C
Rationale: Talking with the client during wound care provides emotional support by using therapeutic communication to distract, reassure, and address the client's feelings during a stressful procedure.
Question 5 of 5
A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?
Correct Answer: C
Rationale: Administering medications 5 minutes apart prevents dilution or washout of one medication by another. Contact lenses must be removed, the dropper should not touch the eye, and pressure on the conjunctival sac is correct but not the best instruction here.