ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 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 placed on the mastoid process and near the ear canal to compare air and bone conduction of sound. Earphones are used in audiometry, electrodes in EEG, and probes in tympanometry, none of which are part of the Rinne test.
Question 2 of 5
A client admitted with an acute exacerbation of Ménière's disease asks the student nurse why he was prescribed diphenhydramine. Which response by the student nurse requires correction by the primary nurse?
Correct Answer: A
Rationale: Ménière's disease is not caused by an allergic response; its cause is unknown but may involve fluid imbalance or infection. Diphenhydramine, an antihistamine with anticholinergic properties, correctly helps reduce nausea, vomiting, and promotes rest.
Question 3 of 5
A nurse provides education to a client recently diagnosed with macular degeneration. Which of the following statements made by the client requires reinforcement of education by the nurse?
Correct Answer: C
Rationale: The statement about vision being restored with eye drops is incorrect, as eye drops do not treat macular degeneration or restore vision. This chronic condition causes progressive vision loss, and treatments like injections may only slow progression.
Question 4 of 5
A client arrives to the clinic with reports of progressive weakness in his lower extremities. Which of the following findings in the client's history is consistent with the client developing Guillain-Barre syndrome?
Correct Answer: D
Rationale: Reason: A facial tumor is not related to Guillain-Barre syndrome, which is an autoimmune disorder that affects the peripheral nerves. Reason: Pregnancy is not a risk factor for Guillain-Barre syndrome, although it can occur during or after pregnancy in rare cases. Reason: A puncture wound 3 weeks ago is unlikely to cause Guillain-Barre syndrome, which usually follows a respiratory or gastrointestinal infection. Reason: This is the correct answer because cytomegalovirus is one of the common infections that can trigger Guillain-Barre syndrome. It can cause inflammation and damage to the myelin sheath that covers the nerves.
Question 5 of 5
A nurse at an ophthalmology clinic is providing medication teaching to a client who has open angle glaucoma. Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: Open angle glaucoma requires lifelong medication to maintain normal intraocular pressure and prevent vision loss.