ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A client is observed with unilateral twitching of facial muscles and repetitive tongue thrusting, with a decrease in level of consciousness. When the nurse reports her findings to the physician, what type of seizure will she indicate she observed?
Correct Answer: C
Rationale: Complex partial. This is correct because complex partial seizures involve impaired consciousness and automatisms, such as lip smacking, chewing, or fidgeting. They may also involve focal motor activity, such as twitching of one side of the face or body.
Question 2 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.
Extract:
You admit a client on day 1. After several days off, you are reassigned the same client. Click the tabs to review vital signs and nurse notes to review the client's progression.
Vital Signs Assessment Day 1:
Temperature 37.5° C (99.5° F) Blood pressure 198/96 mm Hg Heart rate 112/min
Respiratory rate 22/min
Oxygen saturation 96% on room air Day 7:
Temperature 38° C (100,4° F) Blood pressure 166/70 mm Hg Heart rate 68/min
Respiratory rate 20/min
Oxygen saturation 97% on room air
Question 3 of 5
For each client finding, click to specify if the finding could indicate Parkinson's disease, stroke, and/or multiple sclerosis. Each finding can support more than one disease process.
| Finding | Parkinson's disease | stroke | multiple sclerosis |
|---|---|---|---|
| Blood pressure | |||
| Facial symmetry | |||
| Cognitive function | |||
| Mobility status | |||
| Speech |
Correct Answer: A,B,C,D,E
Rationale: Blood pressure changes can occur in stroke and MS due to autonomic dysfunction. Facial asymmetry is common in stroke. Cognitive impairment can occur in all three. Mobility issues are seen in all three due to motor deficits. Speech difficulties can occur in stroke and MS.
Extract:
Question 4 of 5
A client suspected of having a stroke is scheduled to have an angiogram. Which of the following is a priority action for the nurse?
Correct Answer: A
Rationale: Reviewing renal function labs is a priority action for the nurse because angiography involves the injection of contrast dye, which can cause nephrotoxicity in clients with impaired renal function.
Question 5 of 5
A client reports visual disturbances followed by debilitatingPain, nausea, and light sensitivity. When providing education for this client, what can the nurse include in teaching? Select all that apply
Correct Answer: A,B,D,E
Rationale: Identifying and avoiding triggers, getting adequate sleep, reducing stress, and noting that NSAIDs may be ineffective are key educational points for managing migraines.