ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client in the intensive care unit who was admitted with severe head trauma and cerebral edema. The client opens their eyes spontaneously, is oriented, and obeys commands. Which of the following findings indicate the client is experiencing a decline in their condition? (Select All that Apply.)
Correct Answer: B,D,E,F
Rationale: Eyes opening to painful stimuli, confusion, mumbling inappropriate words, and failure to open eyes to name indicate decreased consciousness and worsening neurological status. Responding to name and stating the day of the week suggest intact consciousness and orientation.
Question 2 of 5
A nurse is teaching a group of student nurses about populations at higher risk for multiple sclerosis. Which of the following demographics should be included in the teaching?(Select All that Apply.)
Correct Answer: A,B,D
Rationale: African Americans, White Americans, and Hispanics have varying MS prevalence, with White Americans at highest risk.
Question 3 of 5
A nurse is caring for a client with a colostomy. Which action is appropriate?
Correct Answer: A
Rationale: Emptying the pouch when full prevents leakage and maintains skin integrity.
Question 4 of 5
A nurse is caring for a client who was involved in a motor vehicle accident. The client is alert and oriented and reports a loss of consciousness immediately after the accident. Which of the following additional manifestations should the nurse assess the client for?
Correct Answer: A,B,D
Rationale: Pupillary dilation, persistent headache, and difficulty waking are signs of potential neurological issues post-head injury, such as increased intracranial pressure or concussion. Hand tremors and foot drop are less directly related to immediate post-accident neurological assessment.
Question 5 of 5
Which of the following information should the nurse include when educating a client who has pulmonary edema as a result of a pre-existing cardiac condition? (Select All that Apply.)
Correct Answer: A,B,C,D,E
Rationale: All choices are correct. Weight control (
A) reduces cardiovascular strain, a healthy lifestyle (
B) supports heart health, smoking cessation (
C) prevents worsening of heart failure, heart disease prevention (
D) reduces complications, and glycemic control (E) manages diabetes-related cardiac risks.