ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A client is diagnosed with a problem involving the inner ear. Which is the most common client complaint associated with a problem involving this part of the ear?
Correct Answer: A
Rationale: Hearing loss is the most common complaint with inner ear problems, as the cochlea is responsible for hearing. Tinnitus is a symptom, pruritus relates to the outer ear, and muffled sounds indicate middle ear issues.
Question 2 of 5
A nurse in the emergency department is caring for a client following an automobile crash in which the client was unrestrained and thrown from the vehicle. When assessing the client, the nurse observes clear fluid draining from the client's nose. Which of the following interventions should the nurse take?
Correct Answer: D
Rationale: Inserting sterile packing into the nares is the safest option to prevent infection if the fluid is cerebrospinal fluid (CSF), indicating a possible basilar skull fracture, while avoiding actions that could introduce bacteria.
Question 3 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 4 of 5
When performing an assessment, the nurse observes for bilateral equality. After performing a neurological assessment, which of the following will the nurse document when assessment findings indicate that there is left facial droop?
Correct Answer: C
Rationale: Asymmetrical findings are documented when one side of the face is lower or weaker, as in left facial droop. Symmetrical findings imply equality, bilateral strength implies normal muscle power, and inability to perform within normal limits is too vague.
Question 5 of 5
When assessing a client diagnosed with basal cell carcinoma, which of the following findings will the nurse expect?
Correct Answer: C
Rationale: Basal cell carcinoma typically presents as a small, scaly, dry lesion that may bleed or crust, often in sun-exposed areas like the elbow.