ATI RN
ATI Med Surg Adult Care 2 Questions
Question 1 of 5
A nurse is caring for a client who is unconscious following a cerebral hemorrhage. Which of the following nursing interventions is of highest priority?
Correct Answer: B
Rationale: Suctioning saliva from the client's mouth is the highest priority intervention, as it can prevent aspiration and maintain a patent airway.
Question 2 of 5
A nurse is caring for a client who has an epidural hematoma. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: An epidural hematoma is caused by bleeding between the dura mater and the skull, usually from a ruptured artery. The bleeding can cause increased intracranial pressure, which can compress the brain and lead to a loss of consciousness.
Question 3 of 5
A nurse is assessing a client who has ataxia. Which of the following actions should the nurse take to evaluate the client's ability to safely ambulate?
Correct Answer: A
Rationale: A Romberg's test is used to assess balance and coordination, which are impaired in clients with ataxia.
Question 4 of 5
A client who recently suffered a stroke suffers from leftsided homonymous hemianopsia. What action does the nurse take when caring for the client during meal time?
Correct Answer: C
Rationale: Sit with the client at each meal and explain where to find the food. This would help the client orient themselves to their surroundings and locate their food using verbal cues and guidance from the nurse.
Question 5 of 5
A nurse in the emergency room is assessing a client who was brought in following a seizure. The nurse suspects the client may have meningococcal meningitis. Assessment findings include nuchal rigidity and a petechial rash. After Implementing droplet precautions, which of the following actions should the nurse initiate next?
Correct Answer: B
Rationale: Assessing cranial nerves helps to identify any neurological deficits early, which is crucial for guiding treatment and monitoring progression.