ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Question 1 of 5
A patient who has been treated for status epilepticus in the emergency department will be transferred to the medical nursing unit. Which equipment should the nurse have available in the patient's assigned room? (Select all that apply.)
Correct Answer: A,E,F
Rationale: Suction tubing is necessary for clearing the airway of secretions or vomitus post-seizure. An oxygen mask is essential for providing supplemental oxygen if hypoxia occurs. Side rail pads prevent injury during postictal confusion or agitation.
Question 2 of 5
A nurse is assessing a client who has meningitis and notes when passively flexing the client's neck there is an involuntary flexion of both legs. Which of the following conditions is the client displaying?
Correct Answer: D
Rationale: Brudzinski's sign is characterized by involuntary flexion of the hips and knees when the neck is passively flexed, indicating meningeal irritation commonly seen in meningitis.
Question 3 of 5
An acute care nurse receives shift report for a client who has increased intracranial pressure. The nurse is told that the client demonstrates decorticate posturing. Which of the following findings should the nurse expect to observe when assessing the client?
Correct Answer: D
Rationale: Decorticate posturing involves flexion of the arms, wrists, and fingers with the arms held tightly to the chest, indicating cerebral hemisphere or corticospinal tract damage. Plantar flexion of the legs is not typical but is associated with decerebrate posturing.
Question 4 of 5
What action should the nurse include in completing a health history and physical assessment for a 36-yr-old female patient with possible multiple sclerosis (MS)?
Correct Answer: B
Rationale: Urinary symptoms like urgency, frequency, or incontinence are common in MS due to neurogenic bladder dysfunction, making this inquiry essential for assessing neurological involvement.
Question 5 of 5
When assessing the client with meningitis, the nurse looks for which manifestation as a frequent first sign of increased intracranial pressure?
Correct Answer: B
Rationale: Changes in mood or attention level, such as irritability or confusion, are early signs of increased intracranial pressure due to altered cerebral perfusion.