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 at the first thoracic level. Which of the following should the nurse recognize can trigger autonomic dysreflexia?(Select All that Apply.)
Correct Answer: A,B,D,E
Rationale: Stimuli below the injury, like sexual activity, tight clothing, surgery, or UTIs, can trigger autonomic dysreflexia by activating sympathetic responses.
Question 2 of 5
A nurse is assessing a client with suspected dehydration. Which finding confirms this?
Correct Answer: B,C
Rationale: Dry mucous membranes and hypotension are signs of dehydration.
Question 3 of 5
A nurse is caring for a client who has chronic migraine headaches. The client asks the nurse if it could be a cerebral aneurysm. Which of the following responses should the nurse use?
Correct Answer: D
Rationale: Most cerebral aneurysms are asymptomatic until rupture, unlike migraines which cause recurring headaches. Seizures, nausea, vomiting, and stiff neck are not typical unless the aneurysm ruptures.
Question 4 of 5
Which of the following could the nurse expect to observe in an older adult client who has a pneumothorax?
Correct Answer: B
Rationale: A pneumothorax causes lung collapse, impairing gas exchange and leading to lower oxygen saturations (93% to 94%). Higher saturations, lower energy expenditure, and increased lung capacity are not expected due to compromised lung function.
Question 5 of 5
A nurse is providing a client who has COPD with education regarding adapting their behavior. Which of the following describes an anticipated outcome following education of the client?
Correct Answer: D
Rationale: Motivation and engagement empower the client to actively manage their COPD, improving quality of life. Repeating questions may indicate confusion, awareness of manifestations is a means to an end, and anxiety is not a desired outcome.