ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as an indication of increased intracranial pressure (ICP)?
Correct Answer: A
Rationale: Restlessness is an early sign of increased ICP due to cerebral discomfort or agitation.
Question 2 of 5
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. Which of the following complications should the nurse monitor the client for? (Select all that apply.)
Correct Answer: B,D
Rationale: Weakened gag reflex and hypotension are complications of cervical spinal cord injury due to impaired autonomic and cranial nerve function.
Question 3 of 5
A nurse is caring for a client who has had a spinal cord injury at the level of the T2-T3 vertebrae. When planning care, the nurse should anticipate which of the following types of disability?
Correct Answer: A
Rationale: A spinal cord injury at T2-T3 typically results in paraplegia, affecting the lower extremities and possibly the trunk, due to the level of the lesion.
Question 4 of 5
A nurse is caring for a client 4 hours following evacuation of a subdural hematoma. Which of the following assessments is the nurse's priority?
Correct Answer: B
Rationale: Respiratory status is the priority post-surgery due to risks of compromised airway or ventilation from altered consciousness or complications.
Question 5 of 5
Which of the following should be the highest priority of education plan for a client being treated with medication therapy for a generalized seizure disorder?
Correct Answer: D
Rationale: Consistent medication adherence is crucial to maintain therapeutic drug levels and prevent breakthrough seizures, making it the highest priority for education.