ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?
Correct Answer: C
Rationale: A footboard maintains dorsiflexion, preventing plantar flexion contractures. Trochanter rolls prevent hip rotation, heel pads protect skin, and abduction pillows align hips.
Question 2 of 5
A nurse is measuring a client's oral temperature. The client informs the nurse that he has just eaten some ice chips. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Waiting 30 minutes allows the oral cavity to return to normal temperature, ensuring an accurate reading. Immediate measurement, documentation without action, or warm water skews results.
Question 3 of 5
The nurse is caring for an immunosuppressed pediatric client who reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should anticipate which drug to be administered to this client?
Correct Answer: D
Rationale: Nystatin treats oral thrush (candidiasis), indicated by white plaques in immunosuppressed patients. Acyclovir is antiviral, metronidazole and amoxicillin are antibiotics.
Question 4 of 5
A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Moving objects away prevents injury during a seizure. Restraining risks harm, lying on back increases aspiration risk, and tongue blades can cause injury.
Question 5 of 5
A newly diagnosed epilepsy patient is prescribed diazepam. The nurse understands that this medication causes which of the following adverse effects?
Correct Answer: C
Rationale: Diazepam causes CNS depression via GABA enhancement, leading to sedation. It doesn't typically cause tachycardia, increased reflexes, or nervousness.