ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A client who is suffering from an allergic reaction asks the nurse what can be done about the itching. Which of the following will the nurse provide to the client?
Correct Answer: A,B,E
Rationale: Avoiding scratching prevents skin damage and infection (
Choice
A). A moist cool compress soothes itching and reduces inflammation (
Choice
B). Avoiding hot air prevents worsening of itching and inflammation (
Choice E). Alcohol irritates and dries skin, worsening itching (
Choice
C). Using a wooden stick to scratch risks injury and infection (
Choice
D).
Question 2 of 5
A nurse is performing a Weber test on a client who reports difficulty hearing in his left ear. The client informs the nurse that he can hear the tone louder in his left ear. Which of the following does this result indicate?
Correct Answer: B
Rationale: In the Weber test, hearing the tone louder in the affected ear (left) indicates conductive hearing loss, due to sound wave blockage in the outer or middle ear (
Choice
B). The test is not inconclusive, as it shows lateralization (
Choice
A). Normal hearing shows no lateralization (
Choice
C). Sensorineural hearing loss causes lateralization to the unaffected ear (
Choice
D).
Question 3 of 5
The nurse is monitoring a client for the early signs and symptoms of dumping syndrome. Which findings indicate this occurrence?
Correct Answer: A
Rationale: Sweating and pallor are early signs and symptoms of dumping syndrome, which is a condition where food moves too quickly from the stomach to the small intestine, causing rapid fluid shifts and hormonal changes. Sweating and pallor are caused by hypoglycemia, which occurs when the high concentration of food in the small intestine stimulates insulin secretion. Abdominal cramping and pain are late signs and symptoms of dumping syndrome, which occur about one to three hours after eating. Abdominal cramping and pain are caused by intestinal distension, spasms, and gas formation. Double vision and chest pain are not signs and symptoms of dumping syndrome, but may indicate other serious conditions, such as stroke or heart attack. Double vision and chest pain should be reported to the provider immediately. Bradycardia and indigestion are not signs and symptoms of dumping syndrome, but may be related to other gastrointestinal disorders, such as gastritis or peptic ulcer disease. Bradycardia and indigestion should be evaluated by the provider for further diagnosis and treatment.
Question 4 of 5
A nurse is providing education to a client recently diagnosed with Meniere's disease. Which of the following will the nurse include in the teaching?
Correct Answer: A,D,E
Rationale: Avoiding swimming underwater, sitting or lying down during vertigo, and acknowledging the unknown cause are correct. Earphones and keeping eyes open can worsen symptoms, and noise damage is not the cause.
Question 5 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.