ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
When providing information to a client in the rehabilitative phase of a burn injury, which of the following will the nurse identify as the goal?
Correct Answer: A
Rationale: Resuming a functional role in society is the ultimate goal in the rehabilitative phase, focusing on independence and quality of life. Pain management, support, and infection prevention are interventions, not goals.
Question 2 of 5
The nurse is reviewing the record of a client with a diagnosis of cirrhosis and notes that there is documentation of the presence of asterixis. How should the nurse assess for its presence?
Correct Answer: B
Rationale: Reason: Measuring the abdominal girth is not related to asterixis, which is a tremor of the hand when the wrist is extended. It may indicate ascites, which is a complication of cirrhosis, but not asterixis. Reason: This is the correct choice. Asterixis is a flapping tremor of the hand when the wrist is extended, sometimes said to resemble a bird flapping its wings. It is caused by abnormal function of the diencephalic motor centers that regulate the muscles involved in maintaining posture. It is a sign of hepatic encephalopathy, which is a neuropsychiatric disorder that occurs in patients with liver disease. Reason: Having the client flex and extend their foot is not related to asterixis, which affects the hand and wrist. It may test for ankle clonus, which is a rhythmic contraction of the calf muscles when the foot is dorsiflexed. It indicates an upper motor neuron lesion, but not hepatic encephalopathy. Reason: Asking the client to walk heel to toe is not related to asterixis, which affects the hand and wrist. It may test for balance and coordination, which can be impaired in patients with hepatic encephalopathy, but it is not a specific sign of asterixis.
Question 3 of 5
A client diagnosed with a sty of the eye asks what can be done for treatment. Which of the following options will the nurse provide to the client?
Correct Answer: B
Rationale: Reason: An antifungal cream is not indicated for a sty, which is an infection of the eyelash follicle or sebaceous gland caused by bacteria. Reason: This is the correct answer because warm compresses can help relieve pain and inflammation, and promote drainage of the sty. Reason: Ice and cold compresses are not recommended for a sty, as they can constrict blood vessels and delay healing. Reason: There is no need to test the other eye for vision loss, as a sty does not affect vision unless it is very large or obstructs the pupil.
Question 4 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.
Question 5 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.