ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A 70year old client diagnosed with a hemorrhagic stroke was admitted 1 day ago. His medical history includes hypertension, osteoarthritis, and type 2 diabetes. He has right sided paralysis, garbled speech, and a weak cough reflex. This morning he is restless. Vital signs are Blood Pressure 160/80, pulse 110, respirations 24, oxygen saturation 90% Which of the following Interventions will the nurse take to avoid complications? Select all that apply
Correct Answer: A,B,C
Rationale: Applying oxygen addresses low saturation, monitoring blood pressure prevents further bleeding, and seizure precautions are necessary due to stroke-related seizure risk.
Question 2 of 5
A nurse is admitting a young adult client who has suspected bacterial meningitis. The nurse should closely monitor the client for increased intracranial pressure (ICP) as indicated by which of the following findings?
Correct Answer: C
Rationale: Widened pulse pressure is the difference between systolic and diastolic blood pressure, which increases as a compensatory mechanism to maintain cerebral perfusion in the face of increased ICP.
Question 3 of 5
A client newly diagnosed with multiple sclerosis is receiving education about newly prescribed medications from the nurse. Which of the following will be included in the client teaching?
Correct Answer: D
Rationale: This is correct because immunomodulators are used to prevent relapses and slow down the progression of multiple sclerosis.
Question 4 of 5
A nurse is caring for a client who has rightsided acoustic neuroma resulting in impairment of cranial nerves IX and X. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Placing suction equipment at the client's bedside is a correct action for a nurse to take when caring for a client who has impairment of cranial nerves IX and X, which control swallowing and prevent aspiration.
Question 5 of 5
A nurse is providing teaching to the family of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Providing client supervision is correct because clients with Parkinson's disease are at risk of falls, aspiration, and medication errors.