ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A client with a newborn asks about the lesion on her child's head. After assessing the skin, which response will the nurse offer to the client?
Correct Answer: A
Rationale: The lesion is likely a hemangioma, a benign vascular tumor that typically resolves over time without intervention.
Question 2 of 5
A client with red scaling papules on his elbows, knees, lower back, and scalp arrives to the clinic. Which of the following questions will the nurse include in her assessment?
Correct Answer: A
Rationale: Asking if the lesions hurt helps assess pain and discomfort associated with psoriasis, which is indicated by red scaling papules.
Question 3 of 5
A client diagnosed with contact dermatitis is receiving education from the nurse. Which of the following therapies will the nurse recommend to the client?
Correct Answer: D
Rationale: Avoidance is the best therapy for contact dermatitis as it involves identifying and eliminating exposure to the allergen or irritant, allowing the skin to heal and preventing further reactions.
Question 4 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 5 of 5
A nurse is admitting a client who has a partial hearing loss. Which of the following is the priority action by the nurse?
Correct Answer: D
Rationale: Reason: This is incorrect because standing directly in front of the client is not the priority action by the nurse when admitting a client who has a partial hearing loss. Standing directly in front of the client can enhance communication, but it is not as important as assessing the client's hearing status and needs. Reason: This is incorrect because rephrasing statements the client does not hear is not the priority action by the nurse when admitting a client who has a partial hearing loss. Rephrasing statements can improve understanding, but it is not as essential as evaluating the client's hearing level and preferences. Reason: This is incorrect because speaking using his usual tone of voice is not the priority action by the nurse when admitting a client who has a partial hearing loss. Speaking using his usual tone of voice may or may not be appropriate, depending on the client's hearing ability and comfort. The nurse should adjust his tone of voice based on the client's feedback and response. Reason: This is the correct choice because determining if the client uses hearing aids is the priority action by the nurse when admitting a client who has a partial hearing loss. Hearing aids are devices that amplify sound and improve hearing for people with hearing loss. The nurse should determine if the client uses hearing aids, and if so, check their function, fit, and battery life. The nurse should also ask about any other assistive devices or strategies that the client uses to communicate effectively.