ATI RN
ATI Med Surg Npro 2000 Exam Questions
Extract:
Question 1 of 5
A client has undergone surgery for the creation of burr holes after sustaining head trauma from a fall and is at risk for developing an infection. An early critical manifestation of meningeal irritation for which the nurse assesses the client is:
Correct Answer: C
Rationale: Brudzinski's sign, where neck flexion causes involuntary hip and knee flexion, is an early indicator of meningeal irritation post-head trauma.
Question 2 of 5
A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Spironolactone, a potassium-sparing diuretic, causes hyponatremia by increasing sodium excretion.
Question 3 of 5
Anxiolytics, known as Benzodiazepines, are especially useful in which behavioral health patient treatment?
Correct Answer: B
Rationale: Benzodiazepines are effective for short-term panic attack relief due to their rapid anxiolytic effects.
Question 4 of 5
Which patient is most likely experiencing a pulmonary embolism (PE)?
Correct Answer: A
Rationale: The woman's symptoms of DVT (calf swelling) and chest pain with respiratory distress strongly suggest PE, a medical emergency.
Question 5 of 5
A nurse is caring for a client who frequently attempts to remove his IV catheter. A family member requests that the nurse apply restraints. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Covering the catheter is a non-restrictive intervention to prevent removal, addressing the issue without restraints.