ATI RN
ATI Nur201 FA2 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
The nurse is assessing a client's eyes and notes that when the client looks at a near object, the pupil constricts, but when the client looks at an object in the distance, the pupil dilates. The nurse should identify this finding as which condition?
Correct Answer: D
Rationale: Accommodation is the process by which the eye adjusts its focus from near to distant objects (or vice versa). This involves changes in the shape of the lens, controlled by the ciliary muscles. The client's ability to focus on objects at varying distances correctly describes the accommodation process.
Question 2 of 5
A nurse is caring for a client following cataract surgery. Which comment from the client should the nurse report to the client's health care provider IMMEDIATELY?
Correct Answer: D
Rationale: Severe eye pain that the client cannot stand is a potential sign of a serious complication, such as increased intraocular pressure, infection, or other postoperative issues. This requires immediate attention.
Question 3 of 5
A client diagnosed with angina pectoris appears to be very anxious and states, 'So I had a heart attack, right?' Which response should the nurse make to the client?
Correct Answer: C
Rationale: Explaining that the client did not have a heart attack but emphasizing the importance of monitoring and managing chest pain provides accurate information and reassurance.
Question 4 of 5
The nurse is assessing a client diagnosed with Addison's disease for signs of hyperkalemia. What should the nurse observe with this electrolyte imbalance?
Correct Answer: C
Rationale: Peaked T-waves on an electrocardiogram (ECG) are a classic sign of hyperkalemia. Elevated potassium levels affect the cardiac conduction system, leading to characteristic changes in the ECG.
Question 5 of 5
A client diagnosed with glomerulonephritis is at risk for developing acute kidney injury. Which of the clinical manifestations should the nurse monitor for?
Correct Answer: B
Rationale: Hypertension is a common manifestation of glomerulonephritis due to fluid retention and impaired kidney function, which can contribute to acute kidney injury.