ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a spinal cord injury and has absent bowel sounds in the lower abdominal quadrants. Which of the following actions should the nurse perform?
Correct Answer: C
Rationale: Inserting a nasogastric tube is appropriate to decompress the stomach and intestines, addressing potential neurogenic bowel dysfunction and reducing risks like aspiration.
Question 2 of 5
A client with a peptic ulcer is prescribed omeprazole. What is the purpose?
Correct Answer: A
Rationale: Omeprazole, a proton pump inhibitor, reduces gastric acid to promote ulcer healing.
Question 3 of 5
A nurse is providing teaching about potential complications to a client who has a spinal cord injury. Which of the following should the nurse include in the teaching as a common complication of spinal cord injuries?(Select All that Apply.)
Correct Answer: A,B,C,E
Rationale: Temperature sensitivity, contractures, sexual dysfunction, and UTIs are common due to autonomic disruption, immobility, and bladder dysfunction.
Question 4 of 5
A nurse is teaching a client who has a spinal cord injury about sexual stimulation. Which of the following statements by the nurse should be included in the teaching?
Correct Answer: A
Rationale: Encouraging experimentation with the body to find enjoyable stimulation post-injury promotes self-discovery and empowerment. Statements denying intimate relationships or arousal potential are inaccurate and discouraging, and focusing solely on appearance does not address sexual stimulation directly.
Question 5 of 5
A nurse in the emergency department is assessing a client who was brought in by a neighbor after falling down suddenly while walking. Which of the following assessments are the priority for the nurse to complete? (Select All that Apply.)
Correct Answer: A,B,D
Rationale: Muscle strength is a priority to identify neurological deficits or weakness indicative of conditions like stroke. Facial symmetry is crucial to detect facial droop, a sign of stroke or Bell's palsy. Vision changes are important to assess for visual disturbances that may indicate neurological issues like stroke or TIA.