ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?
Correct Answer: C
Rationale: Administering medications 5 minutes apart prevents dilution or washout of one medication by another. Contact lenses must be removed, the dropper should not touch the eye, and pressure on the conjunctival sac is correct but not the best instruction here.
Question 2 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 3 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.
Question 4 of 5
A patient who is unconscious after a head injury has cerebral edema. Which nursing intervention will be included in the plan of care?
Correct Answer: D
Rationale: Elevating the head of the bed to 30 degrees facilitates venous drainage from the head, reducing intracranial pressure and helping manage cerebral edema.
Question 5 of 5
A nurse is assessing a client who is receiving total parenteral nutrition (TPN) therapy via an infusion pump. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Changing the IV tubing every 24 hours is recommended to prevent infection and maintain sterility, as TPN can support bacterial growth (
Choice
C). Blood glucose should be monitored every 4-6 hours, not every 12 hours, due to TPN's high-glucose content affecting blood sugar levels (
Choice
A). IV site dressings should be changed daily or as needed to prevent infection, not every 4 days (
Choice
B). The client should be weighed daily, not every other day, to assess fluid balance and nutritional status (
Choice
D).