ATI RN
ATI Nsg 234 Med Surg Exam Neurologyendocrine And Sensory Questions
Extract:
Question 1 of 5
A nurse is caring for a client diagnosed with Addison's disease who is at risk for Addisonian crisis. The nurse is aware that which of the following is the priority assessment?
Correct Answer: B
Rationale: Monitoring for signs of shock is the priority, as Addisonian crisis can lead to severe hypotension and shock, which requires immediate intervention.
Question 2 of 5
A client who swims several times a week asks the nurse, 'Why are ears prone to frequent infection?' What is the nurse's best response?
Correct Answer: C
Rationale: The best response addresses the presence of microorganisms in pool water that can enter the ear and potentially lead to infections, such as swimmer's ear (otitis externa).
Question 3 of 5
A nurse is caring for a client with Adrenal Cortex Hyperfunction. The nurse is aware that the client is at risk for which of the following?
Correct Answer: D
Rationale: Hypokalemia is a significant risk in clients with adrenal cortex hyperfunction, especially due to the effects of excessive aldosterone, which promotes sodium retention and potassium excretion.
Question 4 of 5
A nurse is preparing information about eye health for a community health fair. Which of the following information related to risk factors for cataracts should the nurse include? SELECT ALL THAT APPLY.
Correct Answer: A,B,C,E
Rationale: Hypertension, family history, obesity, and increasing age are all risk factors for cataracts due to their effects on vascular health, genetic predisposition, metabolic changes, and natural aging processes. Wearing sunglasses is a preventive measure, not a risk factor.
Question 5 of 5
A nurse is providing care for a client with a halo device. The client has developed skin breakdown and irritation around the pin sites. Which intervention is most appropriate for the nurse to implement to prevent further skin complications?
Correct Answer: C
Rationale: Padding the areas of skin breakdown with foam dressing is an appropriate intervention as it can provide cushioning, reduce friction, and protect the skin from further injury.