ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A nurse at a rehabilitation center is planning care for a client who had a left hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following goals should the nurse include in the client's rehabilitation program?
Correct Answer: C
Rationale: Establishing the ability to communicate effectively is an appropriate goal for a client with a left hemispheric CVA, which affects language functions.
Question 2 of 5
When caring for the client with Alzheimer's disease, which of the following are appropriate items to include in the client's room?
Correct Answer: D
Rationale: Clocks, calendar, family photos are appropriate items to include in the room of a client with Alzheimer's disease. They can help the client maintain orientation to time, place, and person, and provide comfort and familiarity.
Question 3 of 5
A client arrived by EMS after a bar fight. He is disoriented with a Glasgow coma scale of 10. What additional finding indicates that he has suffered a basilar skull fracture?
Correct Answer: C
Rationale: Discoloration behind the left ear, also known as Battle's sign, is a sign of basilar skull fracture.
Question 4 of 5
A nurse is caring for a client who is unconscious following a cerebral hemorrhage. Which of the following nursing interventions is of highest priority?
Correct Answer: B
Rationale: Suctioning saliva from the client's mouth is the highest priority intervention, as it can prevent aspiration and maintain a patent airway.
Question 5 of 5
A client who recently suffered a stroke suffers from leftsided homonymous hemianopsia. What action does the nurse take when caring for the client during meal time?
Correct Answer: C
Rationale: Sit with the client at each meal and explain where to find the food. This would help the client orient themselves to their surroundings and locate their food using verbal cues and guidance from the nurse.