ATI RN
ATI Medsurg Exam 5 Questions
Extract:
Question 1 of 5
A client tells the nurse that he is allergic to penicillin. Which of the following is the best response by the nurse?
Correct Answer: D
Rationale: Asking the client to describe their reaction clarifies the allergy's nature and severity, guiding safe care planning.
Question 2 of 5
A client came to the Emergency Department with nausea and vomiting. Which of the following will the nurse include in the client's database?
Correct Answer: C
Rationale: In an emergency, the nurse prioritizes data relevant to immediate treatment, such as vital signs and fluid balance, over comprehensive histories or unrelated data.
Question 3 of 5
The nurse is performing assessment of the temporomandibular joint for crepitation. Which of the following anatomical locations should the nurse palpate as the temporomandibular joint?
Correct Answer: A
Rationale: The TMJ is located anterior to the tragus, below the temporal artery, allowing accurate palpation for crepitation, unlike the other locations.
Question 4 of 5
The nurse is gathering the health history of a client complaining of dyspnea on exertion. While reviewing the data, the nurse finds that some information about past hospitalizations is missing. Which statement by the nurse should be appropriate to gather this data?
Correct Answer: A
Rationale: An open-ended question about past hospitalizations respects client autonomy and gathers relevant data without assumptions.
Question 5 of 5
The nurse is assessing the intensity of a client's pain. Which of the following should be the appropriate question by the nurse?
Correct Answer: B
Rationale: Asking 'How much pain do you have now?' directly assesses pain intensity, unlike questions about function, quality, or aggravating factors.