ATI RN
ATI Med Surg Exam 1A Questions
Extract:
Question 1 of 5
A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?
Correct Answer: A
Rationale: Scatter rugs pose a tripping hazard, especially for clients with impaired vision, increasing fall risk.
Question 2 of 5
A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Respiratory acidosis causes acidemia, affecting the central nervous system, leading to lethargy and altered mental status.
Question 3 of 5
A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?
Correct Answer: A
Rationale: Generalized urticaria (hives) is a common sign of an allergic transfusion reaction.
Question 4 of 5
A nurse is assessing a client who is experiencing hypovolemia. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hypovolemia reduces blood volume, leading to oliguria as the body conserves fluid.
Question 5 of 5
A nurse is providing teaching to a group of adult athletes about prevention of the effects of dehydration on the body. Which of the following manifestations should the nurse include in the teaching?
Correct Answer: D
Rationale: Dehydration impairs nervous system function, leading to decreased coordination and impaired motor control.