ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A home health nurse is teaching an older adult client who just had cataract surgery. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Keeping the head up and straight prevents increased intraocular pressure and bleeding post-cataract surgery.
Question 2 of 5
A client diagnosed with cholecystitis reports right upper quadrant pain that radiates to the right shoulder. Which of the following interventions are the priority for the nurse to implement?
Correct Answer: D
Rationale: Assessing the pain level is the priority intervention for a client with cholecystitis. Pain is the most common symptom and can indicate the severity and complications of the condition. The nurse should use a numeric or descriptive scale to assess pain and monitor changes in location, intensity, and duration.
Question 3 of 5
A nurse caring for a client with acute peritonitis reviews the physician's orders. The orders include an NPO diet, insertion of a nasogastric tube set to low intermittent suction, and IV fluids at 50 mL per hour. When asked why he will need the NG tube, what is the nurse's best reply?
Correct Answer: D
Rationale: The NG tube decompresses the stomach and removes secretions, alleviating distension and preventing complications in acute peritonitis.
Question 4 of 5
A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support?
Correct Answer: C
Rationale: Talking with the client during wound care provides emotional support by using therapeutic communication to distract, reassure, and address the client's feelings during a stressful procedure.
Question 5 of 5
When providing information to a client in the rehabilitative phase of a burn injury, which of the following will the nurse identify as the goal?
Correct Answer: A
Rationale: Resuming a functional role in society is the ultimate goal in the rehabilitative phase, focusing on independence and quality of life. Pain management, support, and infection prevention are interventions, not goals.