Questions 54

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ATI Advanced Med Surg Cohort 4 Exam Questions

Extract:


Question 1 of 5

A high school teacher who has been diagnosed with epilepsy after having a generalized tonic-clonic seizure tells the nurse, 'I cannot teach anymore. It will be too upsetting if I have a seizure at work.' How should the nurse respond to specifically address the patient's concern?

Correct Answer: C

Rationale: Reassuring the patient that epilepsy can often be controlled with medications directly addresses their fear of having a seizure at work, supporting their ability to continue teaching.

Question 2 of 5

Which action should the nurse recognize as the highest priority for a patient who was admitted 16 hours earlier with a C5 spinal cord injury?

Correct Answer: C

Rationale: Respiratory assessment is critical due to the risk of impaired breathing from C5-level injury affecting the diaphragm.

Question 3 of 5

What action should the nurse include in completing a health history and physical assessment for a 36-yr-old female patient with possible multiple sclerosis (MS)?

Correct Answer: B

Rationale: Urinary symptoms like urgency, frequency, or incontinence are common in MS due to neurogenic bladder dysfunction, making this inquiry essential for assessing neurological involvement.

Question 4 of 5

A 76-year-old woman arrives at the emergency department by ambulance with a possible stroke. Vital signs are pulse 90, blood pressure 150/100, respirations 20. Thirty minutes later, vital signs are pulse 78, blood pressure 170/90, respirations 24 and irregular. The nurse should take which action at this time?

Correct Answer: C

Rationale: Assessing the client's symptoms is crucial to monitor for stroke progression and guide interventions, especially with changing vital signs.

Question 5 of 5

A patient admitted with possible stroke has been aphasic for 3 hours and has a current blood pressure (BP) of 174/94 mm Hg. Which order by the health care provider should the nurse question?

Correct Answer: C

Rationale: tPA is contraindicated after 3 hours of stroke symptom onset, increasing bleeding risk without benefit.

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