ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a urinary catheter. How should the nurse prevent infection?
Correct Answer: C
Rationale: Securing the catheter prevents urethral trauma and reduces infection risk.
Question 2 of 5
A nurse is caring for a client who has multiple sclerosis and reports a tightening feeling around their torso. Which of the following conditions should the nurse recognize this finding indicates?
Correct Answer: A
Rationale: The MS hug is a tightening sensation around the torso caused by intercostal muscle spasms due to spinal cord lesions in MS. Lhermitte's sign involves electric shock-like sensations, paroxysmal spasms are involuntary contractions, and trigeminal neuralgia causes facial pain, none of which match the torso tightening.
Question 3 of 5
A nurse is teaching a client who has multiple sclerosis about factors that can worsen their manifestations. Which of the following factors should the nurse include in the teaching?
Correct Answer: B
Rationale: Sunbathing can exacerbate MS symptoms due to Uhthoff's phenomenon, where increased body temperature impairs nerve conduction, worsening symptoms like fatigue and weakness. Flying, office work, and high altitude travel are less directly associated with symptom exacerbation, though related factors like stress or hypoxia may have indirect effects.
Question 4 of 5
A nurse is teaching a client who has a spinal cord injury about prevention of atelectasis. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Deep coughing clears mucus and promotes lung expansion, reducing atelectasis risk. Panting breaths, chest muscle exercises, and excessive rest are less effective or may increase atelectasis risk due to reduced lung activity.
Question 5 of 5
A nurse is caring for a client with asthma. Which of the following statements are true regarding physiological changes of the respiratory system in the aging adult client?
Correct Answer: D
Rationale: Age-related respiratory changes, like reduced elasticity, can mimic airway obstruction symptoms.