ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is teaching a class about physiological changes to hearing in older adult clients. Which of the following should the nurse include?
Correct Answer: D
Rationale: Presbycusis, a common age-related hearing loss, results in a decreased ability to hear high-frequency sounds.
Question 3 of 5
A client is brought to the emergency department with partial-thickness burns to his face, neck, arms, and chest after trying to put out a car fire. The nurse should implement which nursing actions for this client?
Correct Answer: B,E,F
Rationale: Administering oxygen helps prevent hypoxia due to potential airway damage. Assessing the airway is critical to detect swelling or inhalation injury. Applying ice reduces pain and swelling but must be used cautiously to avoid tissue damage.
Question 4 of 5
An Asian family arrives with their newborn for a well visit. When assessing the infant, the nurse observes the following skin irregularity. What is the nurse's priority action?
Correct Answer: B
Rationale: Recording the finding documents the Mongolian spot, a benign pigmentation common in infants of Asian descent, preventing future misdiagnosis (
Choice
B). Notifying child protective services is unnecessary, as the spot is not abuse-related (
Choice
A). Notifying the healthcare provider is not urgent, as the spot is benign (
Choice
C). Interviewing about an injury is inappropriate, as the spot is not an injury, and may imply suspicion, harming trust (
Choice
D).
Question 5 of 5
A nurse is preparing to start an IV infusion of Lactated Ringer's for a client who sustained a burn injury. The client is prescribed 5,200 mL of fluid over the first 24 hr. How many milliliters of fluid will the client receive in the first 8 hours? Record your answer.
Correct Answer: 1733
Rationale: The client receives 1,733 mL in the first 8 hours, calculated as (5,200 mL / 24 hr) × 8 hr = 216.67 mL/hr × 8 = 1,733.33 mL, rounded to 1,733 mL.