ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse suspects a client with myasthenia gravis is experiencing a myasthenic crisis. Which of the following interventions should the nurse take?
Correct Answer: C
Rationale: Intubation is a critical intervention in a myasthenic crisis due to the risk of respiratory failure from severe muscle weakness.
Question 2 of 5
A nurse is educating coworkers on how to minimize back strain and avoid repeated episodes of low back pain. Which of the following strategies should the nurse include? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Applying heat, sleeping in a side-lying position with flexed knees, and avoiding prolonged sitting help reduce back strain and pain.
Question 3 of 5
A nurse is caring for a client who has a spinal cord injury and is developing autonomic dysreflexia. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Placing the client in a sitting position helps lower blood pressure by promoting venous return, addressing the hypertensive crisis first.
Question 4 of 5
A nurse is assessing a client who reports ear pain for the past three days that has suddenly resolved. The client has a new onset of otorrhea (drainage from the ear). The nurse should recognize the client has manifestations of which of the following conditions?
Correct Answer: C
Rationale: A perforated tympanic membrane can lead to the sudden resolution of ear pain followed by drainage, as the pressure causing the pain is relieved when the eardrum ruptures.
Question 5 of 5
A nurse is performing an integumentary assessment for a client. Which of the following findings should the nurse identify as possible squamous cell carcinoma?
Correct Answer: C
Rationale: Squamous cell carcinoma can present as a firm nodule with a hard, scaly crust on the skin.