ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical record of a client who is experiencing delirium. Which of the following in the health record should the nurse identify as a cause of this disorder?
Correct Answer: C
Rationale: Seasonal allergies are not a cause of delirium, but a common condition that affects the respiratory system and causes symptoms such as sneezing, runny nose, itchy eyes, or coughing. History of GERD is not a cause of delirium, but a chronic condition that affects the digestive system and causes symptoms such as heartburn, regurgitation, chest pain, or difficulty swallowing. Benzodiazepines are a cause of delirium, especially in older adults or those with cognitive impairment. Benzodiazepines are a class of drugs that act on the central nervous system and cause sedation, relaxation, and reduced anxiety. However, they can also impair memory, attention, orientation, and judgment, and lead to confusion, agitation, hallucinations, or delusions. Completed antibiotics 10 days ago are not a cause of delirium, but a treatment for bacterial infections. Antibiotics can have side effects such as nausea, diarrhea, rash, or allergic reactions, but they do not cause delirium unless they are toxic or interact with other medications.
Question 2 of 5
A nurse is preparing a client with extensive burns for hydrotherapy. What is the priority action by the nurse?
Correct Answer: C
Rationale: Providing analgesics before hydrotherapy begins reduces pain and anxiety, facilitating wound healing (
Choice
C). Educating the client is important but secondary to pain management (
Choice
A). Analgesics after therapy alone are insufficient, as pain occurs during the procedure (
Choice
B). Clean supplies are essential but not the priority over pain relief (
Choice
D).
Question 3 of 5
The client inquires what the positive result from the potassium hydroxide (KOH) test indicates. Which of the following is an accurate response by the nurse?
Correct Answer: B
Rationale: A positive KOH test indicates a fungal infection, as it reveals fungal elements under a microscope.
Question 4 of 5
A nurse is caring for a client who has a mild traumatic brain injury (TBI). Which of the following manifestations should the nurse immediately report to the provider?
Correct Answer: B
Rationale: A change in the Glasgow Coma Scale score from 14 to 10 indicates a deterioration in neurological status, potentially due to increased intracranial pressure, requiring immediate reporting to the provider.
Question 5 of 5
A nurse is teaching a client about diagnostic vision tests. The nurse should include that which of the following tests is performed to diagnose macular degeneration?
Correct Answer: A
Rationale: The Amsler grid test is used to diagnose macular degeneration by detecting distortions or missing areas in the grid, indicating damage to the macula.