ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has Parkinson's disease. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: Bradykinesia is a manifestation of Parkinson's disease. It is a term that means slow movement and refers to the difficulty in initiating and performing voluntary actions.
Question 2 of 5
A nurse is assessing a client who has a concussion from a sports injury. Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: A lingering headache that comes and goes is a common manifestation of concussion, as the brain tissue is bruised and inflamed.
Question 3 of 5
A client is observed with unilateral twitching of facial muscles and repetitive tongue thrusting, with a decrease in level of consciousness. When the nurse reports her findings to the physician, what type of seizure will she indicate she observed?
Correct Answer: C
Rationale: Complex partial. This is correct because complex partial seizures involve impaired consciousness and automatisms, such as lip smacking, chewing, or fidgeting. They may also involve focal motor activity, such as twitching of one side of the face or body.
Question 4 of 5
A client arrived by EMS after a bar fight. He is disoriented with a Glasgow coma scale of 10. What additional finding indicates that he has suffered a basilar skull fracture?
Correct Answer: C
Rationale: Discoloration behind the left ear, also known as Battle's sign, is a sign of basilar skull fracture.
Question 5 of 5
A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?
Correct Answer: A
Rationale: A GCS score of 3 for eye opening indicates that the client opens their eyes in response to speech.