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: Sexual intercourse, tight clothing, surgery below the injury, and urinary tract infections can stimulate areas below the spinal cord injury, triggering autonomic dysreflexia. Nausea is a symptom, not a trigger, of this condition.
Question 2 of 5
A nurse is assessing a client who has multiple sclerosis. The client reports that, since the onset of the disease, there are times when their symptoms are active and then followed by a period with no symptoms. Which of the following types of multiple sclerosis does this pattern indicate?
Correct Answer: B
Rationale: Relapsing-remitting MS (
B) involves relapses with symptoms followed by remissions, matching the client's pattern. Primary progressive (
A) shows steady worsening, clinically isolating syndrome (
C) is a single episode, and secondary progressive (
D) follows RRMS with gradual decline.
Question 3 of 5
Which of the following obstructive sleep apnea risk factors and behavioral therapies should the nurse discuss with the client?(Select All that Apply.)
Correct Answer: B,D,E,F
Rationale: CPAP, obesity, positional therapy, and smoking are directly linked to OSA management and risk, unlike sedatives and alcohol, which exacerbate the condition.
Question 4 of 5
A nurse is caring for a client who was involved in a motor vehicle accident. The client is alert and oriented and reports a loss of consciousness immediately after the accident. Which of the following additional manifestations should the nurse assess the client for?(Select All that Apply.)
Correct Answer: A,B,D
Rationale: Pupillary dilation, persistent headache, and difficulty waking are signs of potential neurological issues following head trauma, such as increased intracranial pressure or concussion.
Question 5 of 5
Which of the following obstructive sleep apnea risk factors and behavioral therapies should the nurse discuss with the client? (Select All that Apply.)
Correct Answer: B,D,E,F
Rationale: CPAP compliance (
B) improves sleep quality by managing apnea. Obesity (
D) increases airway obstruction risk. Positional therapy (E) reduces apnea severity in certain positions. Smoking (F) exacerbates airway inflammation, increasing risk. Sedatives (
A) worsen apnea by relaxing airway muscles. Alcohol (
C) also promotes airway collapse.