ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is performing a neurological assessment for a client with head trauma. Which of the following assessments will give the nurse information about the function of cranial nerve II?
Correct Answer: A
Rationale: This is the correct answer because cranial nerve II is the optic nerve, which is responsible for vision. Testing the client's ability to look up and down without moving his head assesses the function of this nerve.
Question 3 of 5
A nurse is providing education to a group of older adults about the risk of stroke. Which selections made by the group indicate an understanding of the teaching? Select All that Apply
Correct Answer: A,E
Rationale: Recognizing stroke symptoms (face, arm, speech changes) and lifestyle modifications (low sodium, limited alcohol, regular exercise) are correct stroke prevention strategies.
Question 4 of 5
An 84year old client is brought to the emergency department with reports that his mental status has slowly been declining. He fell 2 weeks ago but did not seek medical attention. Based on this information, what does the nurse suspect the client's diagnosis will be?
Correct Answer: D
Rationale: Subacute subdural hematoma: This is correct because subacute subdural hematomas occur within 2 to 14 days of head trauma and cause gradual and fluctuating changes in mental status, which may be mistaken for dementia or delirium.
Question 5 of 5
A client who suffered a stroke now has functional musculoskeletal deficits and is unable to perform ADLS independently. Which of the following Interventions are appropriate for this client?
Correct Answer: C
Rationale: Assisting with range of motion exercises helps to prevent contractures, maintain joint mobility, and improve muscle strength and coordination.