ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the following factors should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Chronic ear infections, eardrum perforation, and loop diuretics (ototoxic) are known risk factors for hearing loss.
Question 2 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?
Correct Answer: C
Rationale: A 25-gauge needle is appropriate for subcutaneous heparin to minimize tissue trauma.
Question 3 of 5
A nurse is caring for a client who is experiencing an increase in intracranial pressure (ICP). The nurse should expect which of the following as an early manifestation of increased ICP?
Correct Answer: B
Rationale: Restlessness is an early sign of increased ICP due to cerebral irritation.
Question 4 of 5
A nurse is teaching a client who has left-sided weakness how to use a quad cane. Which of the following client actions indicates an understanding of the teaching?
Correct Answer: D
Rationale: Advancing the weaker leg to the cane provides optimal support and stability.
Question 5 of 5
A nurse is providing teaching for a client who has diabetes mellitus about the self-administration of insulin. The client has prescriptions for regular and NPH insulins. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Drawing regular insulin first prevents contamination of the short-acting insulin with NPH.