ATI RN
ATI Custom MS Nurse Questions
Extract:
Client restless following a traumatic brain injury with increased intracranial pressure
Question 1 of 5
A nurse is assisting in the planning of preventative care for a client who is restless following a traumatic brain injury with increased intracranial pressure. Which of the following is an appropriate nursing action?
Correct Answer: C
Rationale: An appropriate nursing action for a client who is restless following a traumatic brain injury with increased intracranial pressure is to reduce stimuli. This can help calm the client and prevent further increases in intracranial pressure.
Extract:
Older adult at risk for falls
Question 2 of 5
A nurse is assisting with the development of a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse contribute to the plan?
Correct Answer: C,D,E
Rationale: Keeping a night light on in the client's room and bathroom can help reduce the risk of falls by improving visibility. Placing the bedside table within the client's reach can help reduce the risk of falls by making it easier for the client to access necessary items. Locking the wheels on beds and wheelchairs during transfers can help reduce the risk of falls by providing stability.
Extract:
Client with a spinal cord injury suspected of autonomic dysreflexia
Question 3 of 5
A nurse is caring for a client who has a spinal cord injury. The nurse suspects that the client has autonomic dysreflexia. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: If a nurse is caring for a client who has a spinal cord injury and suspects that the client has autonomic dysreflexia, the first action the nurse should take is to raise the head of the bed. This can help to lower the client's blood pressure and reduce the risk of complications such as stroke.
Extract:
Client with rheumatoid arthritis
Question 4 of 5
A nurse is collecting data from a client who has rheumatoid arthritis. Which of the following is an expected finding for this client?
Correct Answer: B
Rationale: Boutonniere deformity is an expected finding for a client who has rheumatoid arthritis. It is a type of hand deformity that can occur in people with rheumatoid arthritis. It is characterized by a bent middle finger joint and a hyperextended fingertip.
Extract:
Client with a leg cast for a fractured wrist
Question 5 of 5
A nurse is collecting data from a client following the application of a leg cast for the treatment of a fracture. Which of the following findings should the nurse expect to find first if the cast is too tight?
Correct Answer: A
Rationale: When a cast is too tight, it can compromise blood circulation to the extremity. This results in decreased blood flow and reduced oxygenation, causing the toes to feel cool to the touch.