ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has meningitis and notes when passively flexing the client's neck there is an involuntary flexion of both legs. Which of the following conditions is the client displaying?
Correct Answer: D
Rationale: Brudzinski's sign is characterized by involuntary flexion of the hips and knees when the neck is passively flexed, indicating meningeal irritation commonly seen in meningitis.
Question 2 of 5
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as an indication of increased intracranial pressure (ICP)?
Correct Answer: A
Rationale: Restlessness is an early sign of increased ICP due to cerebral discomfort or agitation.
Question 3 of 5
A patient with suspected meningitis is scheduled for a lumbar puncture. What action should the nurse take before the procedure?
Correct Answer: C
Rationale: Positioning the patient laterally facilitates lumbar puncture and minimizes complications like post-dural puncture headache.
Question 4 of 5
A patient admitted with possible stroke has been aphasic for 3 hours and has a current blood pressure (BP) of 174/94 mm Hg. Which order by the health care provider should the nurse question?
Correct Answer: C
Rationale: tPA is contraindicated after 3 hours of stroke symptom onset, increasing bleeding risk without benefit.
Question 5 of 5
A patient is being admitted with possible stroke. Which information from the assessment indicates that the nurse should consult with the health care provider before giving a prescribed dose of aspirin?
Correct Answer: D
Rationale: Severe headache suggests possible hemorrhagic stroke, where aspirin could worsen bleeding.