ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a score of 6 on the Glasgow Coma Scale. The nurse should expect which of the following outcomes based on this score?
Correct Answer: A
Rationale: A score of 6 on the Glasgow Coma Scale indicates severe brain injury and coma. The client would need total nursing care and close monitoring.
Question 2 of 5
A nurse at a community health clinic is caring for a client who reports a headache and stiff neck. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Evaluating the client's neurological status is the first and most important action for this client, who has two classic signs of meningitis: headache and stiff neck.
Question 3 of 5
A student nurse is asked by the preceptor to identify which of the assigned clients is at the highest risk for stroke. Which of the clients below, when selected by the student nurse, indicate an understanding of the highest risk factor for stroke?
Correct Answer: D
Rationale: A client treated for atrial fibrillation with clopidogrel (Plavor) Correct. Atrial fibrillation is a condition that causes irregular and rapid heartbeats, which can lead to blood clots forming in the heart and traveling to the brain, causing a stroke.
Question 4 of 5
According to the ATI video case study, Cognition: Delirium and Dementia, which of the following is the best first action for the nurse to take when caring for a client with delirium?
Correct Answer: A
Rationale: Identify the underlying cause. This is correct because delirium is a reversible condition that is often caused by an underlying medical problem, such as infection, medication, or dehydration. Identifying and treating the cause can help resolve the delirium and prevent further complications.
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.