ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
When performing an assessment, the nurse observes for bilateral equality. After performing a neurological assessment, which of the following will the nurse document when assessment findings indicate that there is left facial droop?
Correct Answer: C
Rationale: Asymmetrical findings are documented when one side of the face is lower or weaker, as in left facial droop. Symmetrical findings imply equality, bilateral strength implies normal muscle power, and inability to perform within normal limits is too vague.
Question 2 of 5
The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis. The client reports a sudden increase in abdominal pain and begins to vomit. On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. Which is the best first action the nurse should take?
Correct Answer: C
Rationale: Notifying the healthcare provider is critical as these symptoms suggest a perforated appendix, a life-threatening condition requiring immediate intervention.
Question 3 of 5
A nurse caring for a client with acute peritonitis reviews the physician's orders. The orders include an NPO diet, insertion of a nasogastric tube set to low intermittent suction, and IV fluids at 50 mL per hour. When asked why he will need the NG tube, what is the nurse's best reply?
Correct Answer: D
Rationale: The NG tube decompresses the stomach and removes secretions, alleviating distension and preventing complications in acute peritonitis.
Question 4 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.
Question 5 of 5
A nurse is caring for a client who reports a decrease in central vision. The nurse should identify that this is a manifestation of which of the following visual impairments?
Correct Answer: A
Rationale: Macular degeneration affects the macula, leading to blurred or lost central vision, which matches the client's symptoms of decreased central vision.