ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
A 70-year-old female patient with left-sided hemiparesis arrives by ambulance to the emergency department. Which action should the nurse take first?
Correct Answer: B
Rationale: Checking respiratory rate and effort ensures adequate oxygenation, prioritizing airway and breathing in suspected stroke cases.
Extract:
Medical History
Client reports falling and hitting their head and right shoulder after slipping on a wet floor yesterday. Denies loss of consciousness. Complains of pain in right shoulder. Has taken both acetaminophen and ibuprofen for pain with minimal relief obtained. Stayed up entire night playing video games yesterday to distract self from pain. Reports intermittent nausea and vomiting.
Vital Signs
• Oral temperature 37.5° C (99.6° F)
• Heart rate 76/min and regular
• Respiratory rate 20/min even and unlabored
• Blood pressure 112/70 mm Hg in left arm
• Pulse oximetry 98% on room air
Nurses' Notes
0900:
Reports pain in right shoulder. Limited range of motion noted. Rates pain as 7 on a scale of 0 to
Denies numbness and tingling in arm. No swelling or bruising over the shoulder. Fingers warm with capillary refill time less than 3 seconds, sensation intact. Drowsy. Oriented to person. place, and time. Irritable and restless at times. PERRLA. Glascow score of 15. No hematomas noted on head. No nausea or vomiting at this time.
1000:
Continues to report pain in right shoulder. Pain increased from 7 to 8 on a scale of 0 to 10. Increased drowsiness noted. Glascow unchanged.
Question 2 of 5
Complete the following sentence by using the list of options. The nurse should first address the client's........ followed by the client's........
Correct Answer: A,E
Rationale: Drowsiness may indicate neurological deterioration post-head injury, requiring priority assessment, followed by addressing shoulder pain to support recovery.
Extract:
Question 3 of 5
A patient with suspected meningitis is scheduled for a lumbar puncture. What action should the nurse take before the procedure?
Correct Answer: C
Rationale: Positioning the patient laterally facilitates lumbar puncture and minimizes complications like post-dural puncture headache.
Question 4 of 5
A patient is being admitted with possible stroke. Which information from the assessment indicates that the nurse should consult with the health care provider before giving a prescribed dose of aspirin?
Correct Answer: D
Rationale: Severe headache suggests possible hemorrhagic stroke, where aspirin could worsen bleeding.
Question 5 of 5
A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic reflexic bladder. Which action should the nurse include in the plan of care?
Correct Answer: B
Rationale: Self-catheterization promotes independence and reduces infection risk, making it the preferred method for managing neurogenic bladder in spinal cord injury.