ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. Which of the following complications should the nurse monitor for?
Correct Answer: B,C,D
Rationale: Cervical injuries can cause weakened gag reflex, hypotension from spinal shock, and absent bowel sounds due to neurogenic shock. Hypothermia and urinary retention are more likely than hyperthermia and polyuria.
Question 2 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?
Correct Answer: A,C,D
Rationale: Fluid overload causes tachycardia to compensate for increased volume, hypertension due to increased vascular resistance, and tachypnea from pulmonary congestion. Hematocrit is typically decreased due to dilution. Temperature is not directly affected unless infection is present.
Question 3 of 5
Which signs and symptoms are NOT typically present in a patient with Cushing's?
Correct Answer: A,F
Rationale: Cushing's syndrome causes hirsutism, not thin hair, and hypernatremia, not hyponatremia. Striae, hyperglycemia, truncal obesity, and slow wound healing are characteristic.
Question 4 of 5
A patient with a TBI is experiencing increased Intracranial pressure. What position should the nurse place the patient?
Correct Answer: A
Rationale: Elevating the head to 30 degrees with neck midline facilitates venous drainage, reducing ICP. Other positions increase ICP by obstructing venous outflow or increasing cerebral blood flow.
Question 5 of 5
A nurse is prioritizing client care after receiving change-of-shift report. Which of the following clients should the nurse plan to see first?
Correct Answer: B
Rationale: Shortness of breath indicates a potential life-threatening respiratory issue requiring immediate assessment. Discharge, routine imaging, and pain management are lower priorities compared to acute respiratory distress.