ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has suffered a traumatic brain injury. When the nurse applies a stimuli to the client, which of the following responses by the client indicates that the client has suffered an extensive cervical spine injury?
Correct Answer: D
Rationale: Decerebrate positioning, characterized by extension and outward rotation of limbs, indicates severe brainstem or upper cervical spine injury, affecting vital functions.
Question 2 of 5
A nurse is assisting a client with a visual impairment to use the restroom. Which of the following actions will the nurse take to prevent complications?
Correct Answer: D
Rationale: Standing slightly in front and to one side of the client prevents collisions or falls by guiding them safely. Increasing voice volume, lowering bed rails prematurely, or using gestures are inappropriate for visually impaired clients.
Question 3 of 5
A client who recently suffered a stroke suffers from right-sided homonymous hemianopsia. What is the best action for the nurse to take when caring for the client during meal time?
Correct Answer: A
Rationale: Placing food trays on the left side helps the client see and access food due to right-sided vision loss. Other actions are inappropriate or unnecessary during meals.
Question 4 of 5
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?
Correct Answer: A
Rationale: Administering antibiotics is the priority for bacterial meningitis to prevent complications and death. Other actions are supportive but not as urgent.
Question 5 of 5
A nurse is providing education to a client recently diagnosed with Meniere's disease. Which of the following will the nurse include in the teaching?
Correct Answer: A,D,E
Rationale: Avoiding swimming underwater, sitting or lying down during vertigo, and acknowledging the unknown cause are correct. Earphones and keeping eyes open can worsen symptoms, and noise damage is not the cause.