ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A client returns to the clinic for follow-up treatment after a skin biopsy of a suspicious lesion performed 1 week ago. The biopsy report indicates that the lesion is a melanoma. The nurse understands that melanoma has which characteristics? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Melanomas are asymmetrical, dark brown or black, have a high risk of metastasis, and are often in sun-exposed areas due to UV damage. Warm, red skin suggests inflammation, and pain is uncommon unless the lesion is ulcerated.
Question 2 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 3 of 5
A patient with a head injury opens his eyes to verbal stimulation, shouts out when stimulated, and does not respond to a verbal command to move but attempts to push away a painful stimulus. How would the nurse record the patient's Glasgow Coma Scale score?
Correct Answer: A
Rationale: The Glasgow Coma Scale score is 9: eye opening to verbal stimulation (3), shouting/confused speech (4), and withdrawing from pain (2). Scores of 11, 13, or 15 require higher responses in motor, verbal, or eye opening categories.
Question 4 of 5
A client admitted after a motor vehicle accident arrives with a Glasgow coma score (GCS) of 14 with a mild headache. 4 hours later, the client's GCS has decreased to 10 , and now has a dilated pupil on the left side. Which of the following acute traumatic brain injuries does the nurse suspect the client has suffered?
Correct Answer: D
Rationale: Epidural hematoma is suspected due to the lucid interval and dilated pupil on the opposite side, indicating third cranial nerve compression. Lacerations, subdural hematomas, and intracerebral hemorrhages do not typically present this way.
Question 5 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.