ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a mild traumatic brain injury (TBI). Which of the following manifestations should the nurse immediately report to the provider?
Correct Answer: B
Rationale: A change in the Glasgow Coma Scale score from 14 to 10 indicates a deterioration in neurological status, potentially due to increased intracranial pressure, requiring immediate reporting to the provider.
Question 2 of 5
A client arrives to the emergency department complaining of acute onset of nausea with projectile vomiting. The nurse's assessment findings include high-pitched sounds in the left upper quadrant. Which gastrointestinal disorder is consistent with these findings?
Correct Answer: D
Rationale: Small bowel obstruction is consistent with nausea, projectile vomiting, and high-pitched bowel sounds in the left upper quadrant due to blockage in the small intestine.
Question 3 of 5
When assessing a client diagnosed with basal cell carcinoma, which of the following findings will the nurse expect?
Correct Answer: C
Rationale: Basal cell carcinoma typically presents as a small, scaly, dry lesion that may bleed or crust, often in sun-exposed areas like the elbow.
Question 4 of 5
A client arrives to the emergency department after losing consciousness during a soccer game. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Calculating a Glasgow Coma Score is the first action to assess the client's level of consciousness based on eye opening, verbal response, and motor response. This helps determine the severity of potential brain injury and guides further interventions.
Question 5 of 5
The nurse observes the client as he walks into the clinic. She notices a slight tremor of the hands, slowness of movements, and a mask-like facial expression, with postural instability. Which of the following in the client's history are consistent with these observations?
Correct Answer: C
Rationale: Parkinson's disease is characterized by tremor, slowness, rigidity, postural instability, and mask-like facial expression due to reduced facial muscle activity, consistent with the observed symptoms.