ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A client arrived by EMS after a bar fight. He is disoriented with a Glasgow coma scale of 10. What additional finding indicates that he has suffered a basilar skull fracture?
Correct Answer: C
Rationale: Discoloration behind the left ear, also known as Battle's sign, is a sign of basilar skull fracture.
Question 2 of 5
According to the ATI video case study, Cognition: Delirium and Dementia, which of the following is the best first action for the nurse to take when caring for a client with delirium?
Correct Answer: A
Rationale: Identify the underlying cause. This is correct because delirium is a reversible condition that is often caused by an underlying medical problem, such as infection, medication, or dehydration. Identifying and treating the cause can help resolve the delirium and prevent further complications.
Question 3 of 5
A nurse is assessing a client who has Parkinson's disease. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: Bradykinesia is a manifestation of Parkinson's disease. It is a term that means slow movement and refers to the difficulty in initiating and performing voluntary actions.
Question 4 of 5
A nurse receives a postsurgical endarterectomy client, what is the priority action for the nurse to take?
Correct Answer: B
Rationale: Performing a vascular assessment is essential to monitor the patency of the graft and the perfusion of the affected extremity.
Question 5 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.