ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A patient is exhibiting an altered level of consciousness and is unresponsive to verbal stimuli. To elicit a response from a painful stimulus, the nurse would:
Correct Answer: B
Rationale: Pinching the trapezius muscle is a safe, effective method to assess response to pain in an unresponsive patient.
Question 2 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 3 of 5
A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control?
Correct Answer: A
Rationale: HbA1c reflects average blood glucose over 2-3 months, indicating long-term control.
Question 4 of 5
A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the following is the first sign of deteriorating neurological status?
Correct Answer: C
Rationale: Altered level of consciousness is the earliest and most sensitive indicator of worsening intracranial pressure.
Question 5 of 5
A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Gentle flossing helps maintain oral hygiene without worsening mucositis.