ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a seizure disorder. Which of the following actions should the nurse take?
Correct Answer: A,C,E
Rationale: Supplemental oxygen addresses hypoxia, turning the client to the side prevents aspiration, and timing the seizure guides treatment. Inserting a tongue depressor can cause injury, and restraining may harm the client.
Question 2 of 5
The nurse is providing care for a patient that is scheduled for a balloon valvuloplasty. The nurse recalls that balloon valvuloplasty is most commonly used for which valvular heart disease?
Correct Answer: B
Rationale: Balloon valvuloplasty is commonly used to relieve mitral valve stenosis by improving valve opening, often due to rheumatic heart disease. It is not effective for regurgitation disorders or mitral valve prolapse, which require surgical interventions.
Question 3 of 5
A nurse is caring for a client who has a traumatic brain injury (TBI). Which of the following should the nurse understand is a possible consequence of a TBI?
Correct Answer: C
Rationale: TBIs cause mechanical disruption to brain cells and vasculature, leading to secondary effects such as swelling, ischemia, and cellular dysfunction. Increased blood supply is not typical; blood flow may be impaired. Increased intracranial pressure, not decreased, is likely. Pressure does not enhance synaptic connections.
Question 4 of 5
A patient with a TBI is experiencing increased Intracranial pressure. What position should the nurse place the patient?
Correct Answer: A
Rationale: Elevating the head to 30 degrees with neck midline facilitates venous drainage, reducing ICP. Other positions increase ICP by obstructing venous outflow or increasing cerebral blood flow.
Question 5 of 5
A nurse is assisting with triaging clients following an explosion. Which of the following clients should the nurse identify as the highest priority?
Correct Answer: B
Rationale: In mass casualty triage, clients with compromised respiration (>30 breaths/min) are prioritized as they may deteriorate quickly. Unconscious clients with absent respirations are considered unsalvageable in triage protocols.