ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who had a traumatic brain injury (TBI). Which of the following manifestations indicate a mild TBI?
Correct Answer: C
Rationale: Mild TBI is commonly associated with headache and confusion due to transient brain injury. Aggression, loss of vision, depression, seizures, and weakness indicate moderate to severe TBI.
Question 2 of 5
A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Addison's disease results from insufficient cortisol and aldosterone production due to adrenal gland dysfunction, often autoimmune. Other options describe unrelated conditions.
Question 3 of 5
A nurse is caring for a client who had a traumatic brain injury (TBI). Which of the following manifestations indicate a mild TBI?
Correct Answer: C
Rationale: Mild TBI is commonly associated with headache and confusion due to transient brain injury. Aggression, loss of vision, depression, seizures, and weakness indicate moderate to severe TBI.
Question 4 of 5
A sexual assault nurse examiner (SANE) is a caring for a client who experienced sexual assault. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The SANE's priority is to ensure the client's safety and well-being. Legal testimony, police involvement, and evidence collection are secondary or not the nurse's role.
Question 5 of 5
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?
Correct Answer: B
Rationale: DKA causes severe dehydration, and 0.9% sodium chloride IV bolus is the first priority to restore intravascular volume. Oral hypoglycemics, glucocorticoids, and dextrose are not initial treatments.