ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
An Asian family arrives with their newborn for a well visit. When assessing the infant, the nurse observes the following skin irregularity. What is the nurse's priority action?
Correct Answer: B
Rationale: Recording the finding documents the Mongolian spot, a benign pigmentation common in infants of Asian descent, preventing future misdiagnosis (
Choice
B). Notifying child protective services is unnecessary, as the spot is not abuse-related (
Choice
A). Notifying the healthcare provider is not urgent, as the spot is benign (
Choice
C). Interviewing about an injury is inappropriate, as the spot is not an injury, and may imply suspicion, harming trust (
Choice
D).
Question 2 of 5
A client diagnosed with moderate Alzheimer's has been admitted to a long-term care facility. Which of the following are appropriate activities for the nurse to include in the care plan?
Correct Answer: C
Rationale: Listening to music, watching TV, or videos is appropriate as these activities are calming, familiar, and engaging for clients with moderate Alzheimer's, supporting emotional well-being without being overly complex or stimulating.
Question 3 of 5
A nurse is preparing a client with extensive burns for hydrotherapy. What is the priority action by the nurse?
Correct Answer: C
Rationale: Providing analgesics before hydrotherapy begins reduces pain and anxiety, facilitating wound healing (
Choice
C). Educating the client is important but secondary to pain management (
Choice
A). Analgesics after therapy alone are insufficient, as pain occurs during the procedure (
Choice
B). Clean supplies are essential but not the priority over pain relief (
Choice
D).
Question 4 of 5
Which of the following clients is most at risk for traumatic brain injury?
Correct Answer: A
Rationale: Reason: This is the correct choice because driving a motorcycle is a high-risk activity that can expose the client to head trauma, especially if they do not wear a helmet. Traumatic brain injury (TBI) is a condition where the brain is damaged by an external force, such as a collision, fall, or assault. Reason: This is incorrect because having high blood pressure is not a direct risk factor for traumatic brain injury. High blood pressure can increase the risk of stroke, which is a condition where the brain is damaged by an internal cause, such as a blood clot or hemorrhage. Reason: This is incorrect because smoking and having a family history of brain cancer are not risk factors for traumatic brain injury. Smoking and genetic factors can increase the risk of developing brain tumors, which are abnormal growths of cells in the brain. Reason: This is incorrect because golfing and driving a golf cart are low-risk activities that do not pose a significant threat to the client's head. Golfing and driving a golf cart may cause minor injuries, such as sprains, strains, or bruises, but not traumatic brain injury.
Question 5 of 5
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: A throbbing headache is a common symptom of meningitis due to increased intracranial pressure and meningeal irritation. Inability to read suggests a stroke or brain tumor, bruising around the eyes suggests a skull fracture, and a heart rate of 50 suggests bradycardia, none of which are typical for meningitis.