ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A nurse is assisting a client with a visual impairment to use the restroom. Which of the following actions will the nurse take to prevent complications?
Correct Answer: D
Rationale: Standing slightly in front and to one side of the client prevents collisions or falls by guiding them safely. Increasing voice volume, lowering bed rails prematurely, or using gestures are inappropriate for visually impaired clients.
Question 2 of 5
A nurse in the emergency department is caring for a client following an automobile crash in which the client was unrestrained and thrown from the vehicle. When assessing the client, the nurse observes clear fluid draining from the client's nose. Which of the following interventions should the nurse take?
Correct Answer: D
Rationale: Inserting sterile packing into the nares is the safest option to prevent infection if the fluid is cerebrospinal fluid (CSF), indicating a possible basilar skull fracture, while avoiding actions that could introduce bacteria.
Question 3 of 5
A nurse is creating an education plan for a client who has diverticulosis. The nurse should plan to include which of the following in the client education?
Correct Answer: D
Rationale: Increasing dietary fiber softens stool and reduces colon pressure, improving diverticulosis and preventing complications (
Choice
D). Red meat, high in fat and low in fiber, can worsen constipation and increase colon pressure (
Choice
A). Decreasing fluid intake risks dehydration and constipation, worsening the condition (
Choice
B). Pureed soft foods, low in fiber, can increase constipation and colon pressure (
Choice
C).
Question 4 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 5 of 5
A client arrives with an upper respiratory infection and complains of otalgia, malaise, and nasal drainage. The client's temperature is 100.7 F. Which of the following will the nurse anticipate providing to the client?
Correct Answer: C
Rationale: Education on administration of oral antibiotics is appropriate for bacterial upper respiratory infections indicated by fever and otalgia. Mastoidectomy, hearing tests, and antifungal creams are not relevant.