ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Gentle flossing prevents plaque buildup without irritating mucositis-related sore gums. Hydrogen peroxide can worsen irritation, dentures may cause discomfort, and short brushing doesn't ensure oral hygiene.
Question 2 of 5
A nurse is admitting a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Photophobia is a hallmark of meningitis due to meningeal irritation, unlike intermittent headaches (less specific), petechiae (specific to certain types), or bradycardia (more associated with increased ICP).
Question 3 of 5
A nurse is caring for a client who has a spinal cord injury and has developed autonomic dysreflexia. Identify the sequence of steps the nurse should take.
Order the Items
Source Container
Correct Answer: A,B,D,C
Rationale: Autonomic dysreflexia requires: 1) Upright positioning to lower blood pressure; 2) Checking bladder for distension, a common trigger; 3) Antihypertensive administration if severe; 4) Documenting risk to ensure ongoing monitoring.
Question 4 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 5 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: C
Rationale: Holding the quad cane in the stronger (left) hand provides support for the weaker right side, ensuring stability. Moving 2 feet is excessive, stepping right first or advancing the weak leg incorrectly disrupts balance.