ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Photophobia is a common symptom of meningitis due to meningeal irritation affecting the eyes.
Question 2 of 5
A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Gentle flossing helps maintain oral hygiene without aggravating mucositis, unlike hydrogen peroxide, which can irritate, or inadequate brushing time.
Question 3 of 5
A nurse is planning care for a client who is 12 hr postoperative following a kidney transplant. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Hourly urine output monitoring detects early signs of graft dysfunction, critical post-transplant.
Question 4 of 5
A nurse is caring for a client who has a spinal cord injury and has developed autonomic dysreflexia. Identify the sequence of steps the nurse should take.
Order the Items
Source Container
Correct Answer: B,D,C,A
Rationale: Upright positioning reduces blood pressure, checking the bladder addresses a common trigger, antihypertensives treat severe hypertension, and documentation follows.
Question 5 of 5
A nurse is admitting a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Photophobia is a common symptom of meningitis due to meningeal irritation affecting the eyes.