ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
After completing a neurological assessment, the nurse documents that the client is stuporous. Which of the following describe this level of consciousness?
Correct Answer: A
Rationale: Stupor is characterized by minimal movement, limited verbal responses to sounds, and brief awakening only with extreme vigorous stimulation, indicating a state of near-unconsciousness.
Question 2 of 5
The nurse provides instructions to a client diagnosed with inflammatory bowel syndrome (IBS) about measures to treat diarrhea caused by acute flare-ups. Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Increasing dietary fiber, especially during flare-ups, can worsen diarrhea in IBS by increasing stool bulk and motility. Low-fiber diets are recommended during acute episodes.
Question 3 of 5
A nurse is caring for a client who has a T-4 spinal cord injury. Which of the following client findings should the nurse identify as an indication the client is at risk for experiencing autonomic dysreflexia?
Correct Answer: E
Rationale: All listed findings are associated with autonomic dysreflexia, a life-threatening condition triggered by stimuli like a distended bladder or nasal congestion, causing symptoms like headache and hypertension.
Question 4 of 5
A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts. Which of the following findings is consistent with manifestations of cataracts?
Correct Answer: B
Rationale: A decreased ability to perceive colors is a manifestation of cataracts due to lens clouding. Loss of peripheral vision indicates glaucoma, central vision loss indicates macular degeneration, and flashes/floaters suggest retinal detachment.
Question 5 of 5
A client receiving parenteral nutrition by central venous access reports feeling unwell. The nurse assesses the client and suspects that the central line has become infected. Which of the following findings indicate that the client has developed a systemic infection? Select all that apply.
Correct Answer: B,E,F
Rationale: Purulent drainage at intravenous insertion site is a finding of a local infection that can spread systemically, indicating bacterial invasion and inflammation (
Choice
B). Leukocytosis indicates increased white blood cell production in response to a systemic infection, detectable by blood test (
Choice E). Fever is a systemic infection sign due to immune system activation and pyrogen release, measurable by thermometer (
Choice F). Edema may indicate fluid overload or impaired venous return, not specifically systemic infection (
Choice
A). Redness at the insertion site suggests local inflammation, not necessarily systemic spread (
Choice
C). Nausea is a non-specific symptom possibly related to parenteral nutrition side effects or other conditions, not a direct indicator of systemic infection (
Choice
D).