ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has suffered a stroke involving the left hemisphere. Which of the following alterations in function are consistent with this type of stroke?
Correct Answer: D
Rationale: Hemianopsia, the loss of vision in half of the visual field, is consistent with a left hemisphere stroke, which affects language, logic, and analysis, impacting reading, writing, and communication skills.
Question 2 of 5
A patient with a head injury opens his eyes to verbal stimulation, shouts out when stimulated, and does not respond to a verbal command to move but attempts to push away a painful stimulus. How would the nurse record the patient's Glasgow Coma Scale score?
Correct Answer: A
Rationale: The Glasgow Coma Scale score is 9: eye opening to verbal stimulation (3), shouting/confused speech (4), and withdrawing from pain (2). Scores of 11, 13, or 15 require higher responses in motor, verbal, or eye opening categories.
Question 3 of 5
The nurse provides instructions 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 dietary fiber, especially during flare-ups, can worsen diarrhea in IBS by increasing stool bulk and motility. Low-fiber diets are recommended during acute episodes.
Question 4 of 5
A nurse is providing education to a client recently diagnosed with Meniere's disease. Which of the following will the nurse include in the teaching?
Correct Answer: A,D,E
Rationale: Avoiding swimming underwater, sitting or lying down during vertigo, and acknowledging the unknown cause are correct. Earphones and keeping eyes open can worsen symptoms, and noise damage is not the cause.
Question 5 of 5
The client inquires what the positive result from the potassium hydroxide (KOH) test indicates. Which of the following is an accurate response by the nurse?
Correct Answer: B
Rationale: A positive KOH test indicates a fungal infection, as it reveals fungal elements under a microscope.