ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Turning the client on their side prevents aspiration during oral care in immobile patients. Petroleum jelly is supplementary, finger use risks injury, and stiff brushes can harm gums.
Question 2 of 5
A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: The Rinne test uses a tuning fork to compare air and bone conduction. Earphones, probes, and electrodes are unrelated.
Question 3 of 5
An older client is brought to the ED with numbness and weakness of the left arm and slurred speech starting 30 minutes prior to arrival. Which nursing intervention is a priority?
Correct Answer: A
Rationale: A STAT CT head is critical to diagnose a stroke, guiding treatment. rtPA requires imaging confirmation, speech consult is secondary, and discussing factors delays urgent care.
Question 4 of 5
A nurse is planning care for an older adult client at risk for developing pressure ulcers. Which intervention is appropriate to maintain skin integrity?
Correct Answer: A
Rationale: Repositioning every 2 hours reduces pressure on vulnerable areas, preventing ulcers. Massaging bony prominences risks tissue damage, high Fowler's aids respiration, and cornstarch may cause irritation.
Question 5 of 5
A client is diagnosed with atrial fibrillation and has experienced a transient ischemic attack (TI
Correct Answer: B
Rationale: Oral anticoagulants are used in atrial fibrillation with a history of TIA to prevent blood clots and reduce stroke risk. Diuretics treat fluid overload, beta blockers control heart rate, and antihyperuricemic drugs manage gout, none addressing thromboembolism risk.