ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a spinal cord injury. Which of the following assessment findings should the nurse expect with neurogenic shock? (Select all that apply.)
Correct Answer: A,D
Rationale: Hypothermia and bradycardia are characteristic of neurogenic shock due to loss of sympathetic control, leading to heat loss and unopposed parasympathetic activity.
Question 2 of 5
A nurse is caring crees for a client who has a transection of the spinal cord at the level of cervical 7. Which of the following assessment findings should the nurse anticipate?
Correct Answer: A
Rationale: A complete spinal cord transection at C7 results in total loss of sensory and motor function below the injury level, making no sensation or movement the expected finding. Partial movement or sensation would indicate an incomplete injury, which is not consistent with a transection.
Question 3 of 5
A client who has a history of migraines comes into the clinic reporting 'tingling of the face' and blind spots in the eyes. Which of the following phases of a migraine is the client experiencing?
Correct Answer: B
Rationale: The aura phase involves neurological symptoms like visual disturbances (blind spots) and sensory symptoms (tingling), which match the client's symptoms. Prodrome involves subtle warning signs like fatigue, postdrome involves lingering symptoms like fatigue, and the headache phase focuses on pain, not these specific neurological symptoms.
Question 4 of 5
Which of the following clients is at the highest risk for developing osmotic cerebral edema?
Correct Answer: B
Rationale: Rapidly lowering plasma glucose levels creates an osmotic gradient between the brain and plasma, causing brain cells to pull water and result in cerebral edema. Hypokalemia, increased hemoglobin A1C, and elevated creatinine do not directly cause osmotic cerebral edema.
Question 5 of 5
A nurse is providing discharge instructions to a client who has epilepsy. Which of the following instructions should be included in the nurse's teaching?(Select All that Apply.)
Correct Answer: A,B,C,D,E,F
Rationale: These instructions minimize risks of injury during seizures, such as falls, drowning, accidents, or aspiration, and ensure proper positioning for safety and recovery.