ATI RN
ATI Med Surg Npro 2000 Exam Questions
Question 1 of 5
A nurse is assessing a client who has meningitis and notes that 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: B
Rationale: Brudzinski's sign is indicated by involuntary leg flexion during neck flexion, a key sign of meningeal irritation in meningitis.
Question 2 of 5
When caring for an unconscious client with increasing intracranial pressure, the nursing intervention that is contraindicated is:
Correct Answer: D
Rationale: Routine oropharyngeal suctioning can increase intracranial pressure by stimulating the vagus nerve, making it contraindicated.
Question 3 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a hallucination. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Gently reassuring the client that hallucinations are not real helps orient them to reality, reducing distress without reinforcing false perceptions.
Question 4 of 5
A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?
Correct Answer: C
Rationale: Heparin prevents new clot formation and extension but does not dissolve existing clots, which the body's fibrinolytic system handles.
Question 5 of 5
A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client?
Correct Answer: D
Rationale: Spider angiomas are common in cirrhosis due to increased estrogen from impaired liver metabolism, unlike tarry stools which indicate complications.