ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
It is night time and a client who suffers from dementia is agitated and is having difficulty staying in his bed. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Identifying the cause of agitation, such as pain or environmental factors, is the first step to address it effectively. Turning off lights may increase confusion, restraints risk injury, and sedatives should be a last resort after non-pharmacological interventions.
Question 2 of 5
A nurse is caring for a client who has an intracranial pressure (ICP) reading of 40 mm Hg. Which of the following findings should the nurse identify as a late sign of ICP? (Select all that apply.)
Correct Answer: B,E,F
Rationale: Bradycardia with bounding pulse, nonreactive dilated pupils, and hypotension with decreasing pulse pressure are late signs of ICP, associated with Cushing's triad and severe neurological compromise.
Question 3 of 5
A client arrives to the clinic after spending the day at the beach. She reports extreme pain and the nurse observes red skin on her face and upper body. There are no blisters present. What degree of burn has the client suffered?
Correct Answer: A
Rationale: First degree burns affect only the epidermis, causing redness and pain without blisters, as described. Second degree burns cause blisters, third degree burns destroy all skin layers, and the burn can be classified based on the symptoms.
Question 4 of 5
A client diagnosed with Barrett's esophagus asks how he developed this. Which of the following responses by the nurse is most accurate?
Correct Answer: B
Rationale: This is the correct answer because gastroesophageal reflux disorder (GER
D) is the most common risk factor for developing Barrett's esophagus. GERD causes stomach acid to flow back into the esophagus, leading to inflammation and cellular changes over time, resulting in Barrett's esophagus.
Question 5 of 5
A client with a new diagnosis of trigeminal neuralgia is receiving education to prevent triggering an acute onset. Which of the following will the nurse include in teaching?
Correct Answer: D
Rationale: Alternative therapies like yoga, biofeedback, or meditation can help manage stress and reduce triggers for trigeminal neuralgia, unlike actions that stimulate the face.