ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is assessing a client who has had a left-hemisphere stroke. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Expressive aphasia results from left-hemisphere strokes, impairing speech production due to damage in language areas.
Question 3 of 5
A nurse is planning care for a client who has acute pancreatitis. Which of the following interventions should the nurse include in the client's plan? (Select all that apply.)
Correct Answer: B,E
Rationale: Monitoring blood glucose levels is essential due to potential pancreatic involvement affecting glucose regulation. Managing acute pain is critical for patient comfort and reducing pancreatic stress. Insulin drips are not universally required, regular diets are contraindicated, and prolonged NPO may not be standard per current guidelines.
Question 4 of 5
A nurse is initiating a plan of care for a client who has COPD. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: Pursed-lip breathing improves ventilation and reduces breathing effort in COPD patients, helping manage shortness of breath effectively.
Question 5 of 5
A nurse in a rural community is providing education to a group of clients about first aid interventions for snake bites to prevent further injury. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Immobilizing the affected limb with a splint slows venom spread by reducing movement, minimizing systemic circulation.