ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client with multiple sclerosis is seen by the home health nurse and complains of severe fatigue. Which of the following is the most appropriate nursing intervention?
Correct Answer: C
Rationale: Scheduling periods of rest conserves energy, prevents exhaustion, and promotes recovery. Deep-breathing exercises may increase respiratory effort. Warm baths may worsen fatigue or cause heat intolerance. Multivitamins may not improve fatigue and could cause adverse effects.
Question 2 of 5
A nurse is contributing to a teaching plan about the prevention of hepatitis A. The nurse should include which of the following activities can spread hepatitis A?
Correct Answer: C
Rationale: Eating uncooked foods can spread hepatitis A via fecal-contaminated food or water. Sharing razors or tattoos may transmit hepatitis B or C. Unprotected sexual activity is less common for hepatitis A transmission.
Question 3 of 5
When evaluating a client how to administer insulin, which action indicates that additional teaching is necessary?
Correct Answer: A
Rationale: Eating breakfast before injecting insulin risks hyperglycemia or hypoglycemia. Rotating sites, using proper syringes, and securing sharps are correct practices.
Question 4 of 5
Which of the following would be the most appropriate nursing diagnosis for a client admitted with Addison's disease?
Correct Answer: D
Rationale: Risk for injury is appropriate for Addison's disease due to hypotension from adrenal insufficiency, risking falls or shock. Impaired skin integrity, fluid overload, and excess nutrition do not reflect the primary issue.
Question 5 of 5
A client's stool is clay in color. What additional information should the nurse obtain from this client? Select all that apply.
Correct Answer: A,C,E
Rationale: History of alcohol abuse, RUQ pain radiating to the shoulder, and bleeding ulcer may cause clay-colored stool due to liver damage, gallstone obstruction, or gastrointestinal bleeding. Fatty food intolerance suggests gallbladder issues but not directly linked. McBurney's point pain suggests appendicitis.