ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a herniated lumbar disc. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Tingling and burning in the foot indicate nerve compression from a herniated lumbar disc, a common symptom due to sciatic nerve irritation.
Question 2 of 5
A nurse is teaching a client who has glaucoma and is to start taking timolol. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Timolol, a beta-blocker, can cause systemic side effects like bradycardia, so monitoring heart rate is important.
Question 3 of 5
A nurse is assessing a client who has Guillain-Barré syndrome. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: B
Rationale: Decreasing voice volume can indicate cranial nerve involvement and potential respiratory muscle weakness, which can lead to respiratory failure. This is an urgent finding requiring immediate attention.
Question 4 of 5
A nurse is teaching a client about fecal occult blood testing (FOBT) for the screening of colorectal cancer. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: Avoiding corticosteroids prevents false-positive FOBT results due to their potential to cause gastrointestinal bleeding.
Question 5 of 5
A nurse is caring for a client who has active tuberculosis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Ensuring the door to the client's room is closed at all times is a critical measure in preventing the spread of TB. This action helps to contain the airborne bacteria within the room, reducing the risk of transmission to others in the healthcare facility. This is part of airborne precautions, which are essential for managing patients with active TB.