ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is providing discharge instruction to the family of a client who has Parkinson's disease and is a fall risk. Which of the following information should the nurse provide? (Select All that Apply.)
Correct Answer: B,C,D,E
Rationale:
Choice A: Keeping all four siderails up may restrict mobility and is not always appropriate.
Choice B: Removing throw rugs reduces tripping hazards.
Choice C: Handrails in the bathroom provide support in slippery areas.
Choice D: Adequate lighting improves visibility to prevent falls.
Choice E: Keeping walking areas clutter-free reduces tripping risks.
Question 2 of 5
A nurse is teaching a client who has a spinal cord injury about sexual stimulation. Which of the following statements by the nurse should be included in the teaching?
Correct Answer: A
Rationale: Encouraging experimentation with the body to find enjoyable stimulation post-injury promotes self-discovery and empowerment. Statements denying intimate relationships or arousal potential are inaccurate and discouraging, and focusing solely on appearance does not address sexual stimulation directly.
Question 3 of 5
A nurse is teaching a client who has multiple sclerosis about factors that can worsen their manifestations. Which of the following factors should the nurse include in the teaching?
Correct Answer: B
Rationale: Sunbathing can exacerbate MS symptoms due to Uhthoff's phenomenon, where increased body temperature impairs nerve conduction, worsening symptoms like fatigue and weakness. Flying, office work, and high altitude travel are less directly associated with symptom exacerbation, though related factors like stress or hypoxia may have indirect effects.
Question 4 of 5
A client with heart failure reports dyspnea. Which action should the nurse take first?
Correct Answer: C
Rationale: Checking oxygen saturation assesses the client's respiratory status and guides further interventions.
Question 5 of 5
A nurse is caring for a group of clients in a medical unit. Which of the following clients is at the highest risk for developing osmotic cerebral edema?
Correct Answer: B
Rationale: Rapid lowering of plasma glucose creates an osmotic gradient, causing brain cells to pull water from plasma, leading to cerebral edema.