ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has glaucoma and is to start taking timolol. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Timolol, a beta-blocker, can cause systemic side effects like bradycardia, so monitoring heart rate is important.
Question 2 of 5
A nurse is planning care for a client who has acute pancreatitis. Which of the following interventions should the nurse include in the client's plan? (Select all that apply.)
Correct Answer: B,E
Rationale: Monitoring blood glucose levels is essential due to potential pancreatic involvement affecting glucose regulation. Managing acute pain is critical for patient comfort and reducing pancreatic stress. Insulin drips are not universally required, regular diets are contraindicated, and prolonged NPO may not be standard per current guidelines.
Question 3 of 5
A nurse is assessing a client who has had a left-hemisphere stroke. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Expressive aphasia is common in left-hemisphere strokes, affecting speech production due to damage in language centers.
Question 4 of 5
A nurse is assessing a client who has a heart rate of 40/min. The client is diaphoretic and has chest pain. Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: Atropine is the first-line medication for treating symptomatic bradycardia. It increases heart rate by blocking vagal effects, appropriate for a client with a heart rate of 40/min, diaphoresis, and chest pain.
Question 5 of 5
A nurse is providing discharge teaching to a client who has acute leukemia and received chemotherapy 12 hours ago. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,E
Rationale: Using an electric shaver reduces the risk of bleeding due to low platelet counts post-chemotherapy. Avoiding crowds minimizes infection risk in immunocompromised patients. Monitoring for bruising helps detect bleeding complications early. Taking temperature weekly is insufficient, and a low-residue diet is not typically necessary.