ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a T-4 spinal cord injury. Which of the following client findings should the nurse identify as an indication the client is at risk for experiencing autonomic dysreflexia?
Correct Answer: E
Rationale: All listed findings are associated with autonomic dysreflexia, a life-threatening condition triggered by stimuli like a distended bladder or nasal congestion, causing symptoms like headache and hypertension.
Question 2 of 5
A nurse is caring for a client diagnosed with an inner ear infection. Which of the following manifestations will the nurse expect the client to report?
Correct Answer: B
Rationale: Loss of balance is expected due to inflammation in the vestibular system of the inner ear, causing vertigo or dizziness. Inability to recognize words relates to the auditory cortex, cheek twitching to the facial nerve, and lack of air sound to the outer or middle ear.
Question 3 of 5
It is night time and a client who suffers from dementia is agitated and is having difficulty staying in his bed. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Identifying the cause of agitation, such as pain or environmental factors, is the first step to address it effectively. Turning off lights may increase confusion, restraints risk injury, and sedatives should be a last resort after non-pharmacological interventions.
Question 4 of 5
A nurse provides education to a client diagnosed with inflammatory bowel syndrome (IBS) about measures to treat diarrhea caused by acute flare-ups. Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Increasing the intake of leafy greens and other sources of dietary fiber can worsen diarrhea by increasing stool bulk and motility. Eating frequent small meals, increasing fluids, and taking prescribed medications help manage IBS symptoms.
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 $100.7 \mathrm{~F}$. Which of the following will the nurse anticipate providing to the client?
Correct Answer: C
Rationale: Education on administration of oral antibiotics is appropriate as bacterial infections, indicated by fever and otalgia, are common in upper respiratory infections. Mastoidectomy education, hearing tests, and antifungal creams are not relevant for this condition.