ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 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 2 of 5
A nurse caring for a client with acute peritonitis reviews the physician's orders. The orders include an NPO diet, insertion of a nasogastric tube set to low intermittent suction, and IV fluids at 50 mL per hour. When asked why he will need the NG tube, what is the nurse's best reply?
Correct Answer: D
Rationale: The NG tube decompresses the stomach and removes secretions, alleviating distension and preventing complications in acute peritonitis.
Question 3 of 5
A client diagnosed with moderate Alzheimer's has been admitted to a long-term care facility. Which of the following are appropriate activities for the nurse to include in the care plan?
Correct Answer: C
Rationale: Listening to music, watching TV, or videos is appropriate as these activities are calming, familiar, and engaging for clients with moderate Alzheimer's, supporting emotional well-being without being overly complex or stimulating.
Question 4 of 5
A client diagnosed with Barrett's esophagus asks how he developed this. Which of the following responses by the nurse is most accurate?
Correct Answer: B
Rationale: This is the correct answer because gastroesophageal reflux disorder (GER
D) is the most common risk factor for developing Barrett's esophagus. GERD causes stomach acid to flow back into the esophagus, leading to inflammation and cellular changes over time, resulting in Barrett's esophagus.
Question 5 of 5
A client admitted with an acute exacerbation of Ménière's disease asks the student nurse why he was prescribed diphenhydramine. Which response by the student nurse requires correction by the primary nurse?
Correct Answer: A
Rationale: Ménière's disease is not caused by an allergic response; its cause is unknown but may involve fluid imbalance or infection. Diphenhydramine, an antihistamine with anticholinergic properties, correctly helps reduce nausea, vomiting, and promotes rest.