ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and has a referral for a dietary consult. The client tells the nurse, 'I will have to eat whatever the dietitian tells me.' Which of the following statements by the nurse encourages the client's involvement in their plan of care?
Correct Answer: A
Rationale:
Choice A encourages the client's active participation by involving them in creating a personalized food list, promoting autonomy and engagement in their care.
Question 2 of 5
A patient is exhibiting an altered level of consciousness and is unresponsive to verbal stimuli. To elicit a response from a painful stimulus, the nurse would:
Correct Answer: B
Rationale: Pinching the trapezius muscle is a standard, safe method to assess response to painful stimuli in an unresponsive patient, per neurological assessment protocols.
Question 3 of 5
A hospice nurse is planning care for a client who has lung cancer. Which of the following statements should the nurse make to incorporate the client's and family's cultural beliefs?
Correct Answer: B
Rationale:
Choice B demonstrates cultural sensitivity by affirming respect for the client's and family's values and preferences, a key aspect of hospice care.
Question 4 of 5
A nurse is preparing to assist with an ocular irrigation for a client who had a chemical splash to the left eye. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Placing pH paper under the upper lid assesses the chemical's pH, guiding the irrigation process to neutralize the substance effectively.
Question 5 of 5
A nurse is caring for a client who has AIDS. Which of the following isolation precautions should the nurse implement?
Correct Answer: B
Rationale: Standard precautions are sufficient for AIDS (HIV), as it is transmitted via blood and body fluids, not through droplets or air.