ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has a complete spinal cord injury. Based on the nurse's understanding about the degree of this type of injury, what can the nurse expect will be the client's level of function?
Correct Answer: A
Rationale: Reason: This is the correct choice because a complete spinal cord injury is a condition where there is no motor or sensory function below the level of injury. The client will have paralysis of all four limbs (quadriplegia) and loss of bladder, bowel, and sexual function. The client will also have impaired thermoregulation, breathing, and blood pressure. The client will need 24-hour a day care to assist with mobility, hygiene, elimination, nutrition, and prevention of complications. Reason: This is incorrect because a client who is able to assist with transfer and perform self-care has a partial spinal cord injury, not a complete one. A partial spinal cord injury is a condition where there is some motor or sensory function below the level of injury. The degree of impairment depends on the extent and location of the damage. Reason: This is incorrect because a client who is able to roll over independently has a lower spinal cord injury, not a complete one. A lower spinal cord injury is a condition where there is damage to the lumbar or sacral segments of the spinal cord. The client will have paralysis of the lower limbs (paraplegia) and some loss of bladder, bowel, and sexual function. The client will still have some control over the upper limbs and trunk. Reason: This is incorrect because a client who is able to drive an electric wheelchair has an upper spinal cord injury, not a complete one. An upper spinal cord injury is a condition where there is damage to the cervical or thoracic segments of the spinal cord. The client will have paralysis of all four limbs (quadriplegia) and loss of bladder, bowel, and sexual function. However, the client may still have some movement or sensation in the shoulders, arms, or hands.
Question 3 of 5
A nurse is teaching a client about diagnostic vision tests. The nurse should include that which of the following tests is performed to diagnose macular degeneration?
Correct Answer: A
Rationale: The Amsler grid test is used to diagnose macular degeneration by detecting distortions or missing areas in the grid, indicating damage to the macula.
Question 4 of 5
A nurse is caring for a client who is postoperative from glaucoma surgery in the right eye. Which of the following will the nurse include in the postoperative education to the client? (Select all that apply.)
Correct Answer: C,E,F
Rationale: Reporting flashing lights, avoiding strenuous activities like vacuuming, and understanding that flashes of light are normal help manage recovery and prevent complications.
Question 5 of 5
A nurse in an emergency department is caring for a client who has burns on the front and back of both his legs and arms. Using the rule of nines, the nurse should document burns to which percentage of the client's total body surface area (TBSA)?
Correct Answer: A
Rationale: Using the rule of nines, each arm is 9% and each leg is 18% of TBSA, with front and back equally divided. Burns on both sides of both arms (2 × 9%) and legs (2 × 18%) total 36% TBSA (
Choice
A). 54% is incorrect, as it overestimates by adding arms and legs incorrectly (
Choice
B). 27% and 18% underestimate the total burn area (
Choices C,
D). Note: The document contains an error suggesting 54%, but the correct calculation, as explained, is 36%.