ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse plan to include?
Correct Answer: A
Rationale: A low bed height reduces fall risk, critical for dementia clients with impaired judgment. Sedatives increase confusion, toileting every 2 hours prevents incontinence, and low lighting at night aids orientation.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and has a referral for dietary consult. The client tells the nurse, 'I will have to eat whatever the dietitian tells me.' Which of the following statements by the nurse encourages the client's involvement in their plan of care?
Correct Answer: A
Rationale: Offering to list preferred foods involves the client in planning, promoting adherence. Other options acknowledge feelings or state facts but don't actively engage the client in decision-making.
Question 3 of 5
A nurse is assessing a client who has myasthenia gravis. Which of the following client statements should indicate to the nurse that the client needs a referral for occupational therapy?
Correct Answer: D
Rationale: Difficulty brushing hair indicates upper extremity weakness, which occupational therapy can address through adaptive techniques. Bladder issues, swallowing, and mobility require other interventions.
Question 4 of 5
A nurse is planning care for a client who has a seizure disorder. Which of the following equipment should the nurse place in the client's room?
Correct Answer: C
Rationale: An oral airway prevents airway obstruction during a seizure if inserted safely post-seizure. NG tubes are unrelated, restraints increase injury risk, and tongue blades are dangerous during seizures.
Question 5 of 5
A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?
Correct Answer: C
Rationale: Fever, night sweats, and cough suggest possible tuberculosis, requiring airborne isolation in a private room. Ketoacidosis, fractures, and pneumonia don't typically require private rooms unless contagious.