ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is receiving targeted radiation therapy to the neck. The nurse should plan to monitor the client for which of the following as an adverse effect of this therapy?
Correct Answer: C
Rationale: Radiation to the neck commonly causes mouth ulcers due to mucosal irritation in the radiation field.
Question 2 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: C
Rationale: Difficulty with activities of daily living like brushing hair indicates a need for occupational therapy to improve upper extremity function.
Question 3 of 5
A nurse is teaching a client who has left-sided weakness how to use a quad cane. Which of the following client actions indicates an understanding of the teaching?
Correct Answer: D
Rationale: Advancing the weaker leg to the cane provides optimal support and stability.
Question 4 of 5
A nurse is planning care for a client who is postoperative following the insertion of an arteriovenous graft in their left forearm. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Checking the distal pulse ensures adequate circulation post-graft placement.
Question 5 of 5
A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the following is the first sign of deteriorating neurological status?
Correct Answer: C
Rationale: Altered level of consciousness is the earliest and most sensitive indicator of worsening intracranial pressure.