ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A client arrives to the clinic with reports of progressive weakness in his lower extremities. Which of the following findings in the client's history is consistent with the client developing Guillain-Barre syndrome?
Correct Answer: D
Rationale: Reason: A facial tumor is not related to Guillain-Barre syndrome, which is an autoimmune disorder that affects the peripheral nerves. Reason: Pregnancy is not a risk factor for Guillain-Barre syndrome, although it can occur during or after pregnancy in rare cases. Reason: A puncture wound 3 weeks ago is unlikely to cause Guillain-Barre syndrome, which usually follows a respiratory or gastrointestinal infection. Reason: This is the correct answer because cytomegalovirus is one of the common infections that can trigger Guillain-Barre syndrome. It can cause inflammation and damage to the myelin sheath that covers the nerves.
Question 2 of 5
A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. The nurse should identify which of the following risks as the priority for assessment and intervention?
Correct Answer: A
Rationale: Airway obstruction is the priority due to potential edema, inflammation, or inhalation injury in burns of the head, neck, and chest, which can compromise oxygenation and lead to respiratory failure.
Question 3 of 5
A client arrives to the emergency department after losing consciousness during a soccer game. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Calculating a Glasgow Coma Score is the first action to assess the client's level of consciousness based on eye opening, verbal response, and motor response. This helps determine the severity of potential brain injury and guides further interventions.
Question 4 of 5
A client with a new diagnosis of trigeminal neuralgia is receiving education to prevent triggering an acute onset. Which of the following will the nurse include in teaching?
Correct Answer: D
Rationale: Alternative therapies like yoga, biofeedback, or meditation can help manage stress and reduce triggers for trigeminal neuralgia, unlike actions that stimulate the face.
Question 5 of 5
A client newly diagnosed with glaucoma has a history of asthma. Which of the following medications newly prescribed by the eye doctor will the nurse question?
Correct Answer: B
Rationale: Reason: Antibiotics are not contraindicated for a client with glaucoma and asthma, as they can treat or prevent infections that may affect the eye or the respiratory system. Reason: This is the correct answer because non-selective beta blockers are contraindicated for a client with glaucoma and asthma, as they can reduce intraocular pressure but also cause bronchoconstriction and exacerbate asthma symptoms. Reason: NSAIDs are not contraindicated for a client with glaucoma and asthma, as they can reduce inflammation and pain that may affect the eye or the respiratory system. Reason: Anticoagulants are not contraindicated for a client with glaucoma and asthma, as they can prevent or treat thromboembolic events that may affect the eye or the respiratory system.