ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Moving objects away prevents injury during a seizure. Restraining risks harm, lying on back increases aspiration risk, and tongue blades can cause injury.
Question 2 of 5
A nurse is providing discharge teaching to a client who has gastroesophageal reflux disease (GERD). Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Elevating the bed head reduces GERD symptoms by preventing acid reflux. Bedtime snacks, ignoring food triggers, and large meals worsen symptoms.
Question 3 of 5
A nurse is measuring a client's oral temperature. The client informs the nurse that he has just eaten some ice chips. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Waiting 30 minutes allows the oral cavity to return to normal temperature, ensuring an accurate reading. Immediate measurement, documentation without action, or warm water skews results.
Question 4 of 5
A nurse is caring for a client who has been taking phenytoin (Dilantin). The nurse understands that which of the following is a long-term adverse effect of this medication?
Correct Answer: A
Rationale: Phenytoin commonly causes gingival hyperplasia long-term, requiring dental care. It doesn't typically cause hypertension, tachycardia, or hair loss.
Question 5 of 5
The nurse is caring for a patient with a pressure ulcer on the left hip. The ulcer is black. Which next step will the nurse anticipate?
Correct Answer: A
Rationale: Black necrotic tissue requires debridement to promote healing and prevent infection. Drainage management, documentation, and monitoring follow debridement.