ATI RN
ATI Custom MS Nurse Questions
Extract:
Client on the floor in the clonic phase of a tonic-clonic seizure
Question 1 of 5
A nurse enters a client's room and finds the client on the floor in the clonic phase of a tonic-clonic seizure. Which of the following interventions should the nurse take?
Correct Answer: D
Rationale: The nurse should place a pillow under the client's head if the client is on the floor in the clonic phase of a tonic-clonic seizure. This can help protect the client's head from injury during the seizure.
Extract:
Client restless following a traumatic brain injury with increased intracranial pressure
Question 2 of 5
A nurse is assisting in the planning of preventative care for a client who is restless following a traumatic brain injury with increased intracranial pressure. Which of the following is an appropriate nursing action?
Correct Answer: C
Rationale: An appropriate nursing action for a client who is restless following a traumatic brain injury with increased intracranial pressure is to reduce stimuli. This can help calm the client and prevent further increases in intracranial pressure.
Extract:
Client difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure
Question 3 of 5
A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record?
Correct Answer: B
Rationale: The nurse should use the term 'postictal phase' when documenting the client's difficulty arousing and sleepiness for several hours following a generalized tonic-clonic seizure. The postictal phase is the period of time immediately following a seizure during which the client may be difficult to arouse and very sleepy.
Extract:
Client unconscious following a stroke
Question 4 of 5
A nurse is caring for a client who is unconscious following a stroke. Which of the following nursing interventions is of highest priority?
Correct Answer: C
Rationale: The highest priority nursing intervention for a client who is unconscious following a stroke is to suction saliva from the client's mouth. This can help prevent aspiration and maintain a patent airway, which is essential for the client's survival.
Extract:
Client with a fractured femur
Question 5 of 5
A nurse is reinforcing teaching about Russell's traction with a newly licensed nurse. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The nurse should tell the newly licensed nurse that Russell's traction uses a sling under the knee to treat a fracture of the femur. Russell's traction is a type of skin traction that is used to immobilize and align a fractured femur.