ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A nurse is performing a Weber test on a client who reports difficulty hearing in his left ear. The client informs the nurse that he can hear the tone louder in his left ear. Which of the following does this result indicate?
Correct Answer: B
Rationale: In the Weber test, hearing the tone louder in the affected ear (left) indicates conductive hearing loss, due to sound wave blockage in the outer or middle ear (
Choice
B). The test is not inconclusive, as it shows lateralization (
Choice
A). Normal hearing shows no lateralization (
Choice
C). Sensorineural hearing loss causes lateralization to the unaffected ear (
Choice
D).
Question 2 of 5
A nurse is preparing to start an IV infusion of Lactated Ringer's for a client who sustained a burn injury. The client is prescribed 5,200 mL of fluid over the first 24 hr. How many milliliters of fluid will the client receive in the first 8 hours? Record your answer.
Correct Answer: 1733
Rationale: The client receives 1,733 mL in the first 8 hours, calculated as (5,200 mL / 24 hr) × 8 hr = 216.67 mL/hr × 8 = 1,733.33 mL, rounded to 1,733 mL.
Question 3 of 5
A nurse is planning to provide discharge teaching for a client who has hearing loss. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Reason: This is incorrect because dimming the lights in the client's room is not a helpful action for providing discharge teaching for a client who has hearing loss. Dimming the lights can reduce the visibility and clarity of the nurse's facial expressions, gestures, and lip movements, which can aid in communication. Reason: This is incorrect because increasing the rate of speech when talking with the client is not an effective action for providing discharge teaching for a client who has hearing loss. Increasing the rate of speech can make it harder for the client to follow and understand what the nurse is saying. Reason: This is incorrect because answering client's questions using medical terminology is not an appropriate action for providing discharge teaching for a client who has hearing loss. Medical terminology can be confusing and unfamiliar to the client, which can impair comprehension and learning. Reason: This is the correct choice because facing the client while talking is an important action for providing discharge teaching for a client who has hearing loss. Facing the client can enhance eye contact, attention, and rapport. It can also allow the client to see the nurse's facial expressions, gestures, and lip movements, which can facilitate communication.
Question 4 of 5
A client arrives to the emergency department after losing consciousness during a soccer game. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Calculating a Glasgow Coma Score is the first action to assess the client's level of consciousness based on eye opening, verbal response, and motor response. This helps determine the severity of potential brain injury and guides further interventions.
Question 5 of 5
A home health nurse is teaching an older adult client who just had cataract surgery. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Keeping the head up and straight prevents increased intraocular pressure and bleeding post-cataract surgery.