ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A client who recently suffered a stroke suffers from right-sided homonymous hemianopsia. What is the best action for the nurse to take when caring for the client during meal time?
Correct Answer: A
Rationale: Placing food trays on the left side helps the client see and access food due to right-sided vision loss. Other actions are inappropriate or unnecessary during meals.
Question 2 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 3 of 5
A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. The nurse should identify which of the following risks as the priority for assessment and intervention?
Correct Answer: A
Rationale: Airway obstruction is the priority due to potential edema, inflammation, or inhalation injury in burns of the head, neck, and chest, which can compromise oxygenation and lead to respiratory failure.
Question 4 of 5
A nurse is caring for a client diagnosed with an inner ear infection. Which of the following manifestations will the nurse expect the client to report?
Correct Answer: B
Rationale: Loss of balance is expected due to inflammation in the vestibular system of the inner ear, causing vertigo or dizziness. Inability to recognize words relates to the auditory cortex, cheek twitching to the facial nerve, and lack of air sound to the outer or middle ear.
Question 5 of 5
A nurse is caring for a client who has a T-4 spinal cord injury. Which of the following client findings should the nurse identify as an indication the client is at risk for experiencing autonomic dysreflexia?
Correct Answer: E
Rationale: All listed findings are associated with autonomic dysreflexia, a life-threatening condition triggered by stimuli like a distended bladder or nasal congestion, causing symptoms like headache and hypertension.