ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 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 2 of 5
A nurse collects health history from a 65 year old client. Which of the following risk factors in the client's history put chồng at the highest risk for embolic stroke?
Correct Answer: D
Rationale: Mitral valve replacement is the highest risk factor for embolic stroke among the choices given.
Question 3 of 5
A client has a history of atrial fibrillation. Which of the following is the nurse likely to see on the clients medication history to prevent stroke?
Correct Answer: B
Rationale: Oral anticoagulants are used to prevent blood clots from forming or growing larger, which can cause stroke in patients with atrial fibrillation.
Question 4 of 5
A physician tells the family of a client involved in a motorvehicle accident that the client sustained a coupcontrecoup injury. Which of the following statements by the nurse indicates an understanding of this type of traumatic brain injury?
Correct Answer: B
Rationale: A coupcontrecoup injury occurs when the brain hits the skull at the site of impact (coup) and then rebounds and hits the opposite side of the skull (contrecoup).
Question 5 of 5
A nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing increased Intracranial pressure (ICP). Which of the following assessment findings by the nurse supports this suspicion?
Correct Answer: A
Rationale: A decrease in the Glasgow Coma Score indicates a deterioration in the level of consciousness, which is a sign of increased ICP.