ATI RN
ATI RN Med Surg Custom Exam 2 Questions
Extract:
Question 1 of 5
A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts. The nurse should expect the client to report:
Correct Answer: C
Rationale: Having a decreased ability to perceive colors is a common symptom of cataracts. Cataracts can cause vision to become cloudy or yellowed, affecting color perception.
Question 2 of 5
A nurse in the emergency department is caring for a client who has a 30% burn injury to her lower extremities. Which of the following interventions should the nurse perform first?
Correct Answer: D
Rationale: Administering IV fluids is the first intervention for a burn patient. This is because burns can cause significant fluid loss, leading to dehydration and shock.
Question 3 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?
Correct Answer: A,B,E
Rationale: Increased heart rate is a compensatory mechanism to maintain cardiac output in the presence of fluid overload. Increased respiratory rate may occur due to pulmonary congestion caused by fluid overload. Increased blood pressure can occur due to increased blood volume in fluid overload.
Question 4 of 5
A nurse is reviewing discharge instructions with a client following a right cataract extraction. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Lifting heavy objects can increase intraocular pressure, which should be avoided after cataract surgery.
Question 5 of 5
A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions?
Correct Answer: B
Rationale: Massaging the legs can dislodge a clot if one has formed, leading to a VTE.