ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an intracranial pressure (ICP) reading of 40 mm Hg. Which of the following findings should the nurse identify as a late sign of ICP? (Select all that apply.)
Correct Answer: B,E,F
Rationale: Bradycardia with bounding pulse, nonreactive dilated pupils, and hypotension with decreasing pulse pressure are late signs of ICP, associated with Cushing's triad and severe neurological compromise.
Question 2 of 5
A nurse is caring for a client who reports a decrease in central vision. The nurse should identify that this is a manifestation of which of the following visual impairments?
Correct Answer: A
Rationale: Macular degeneration affects the macula, leading to blurred or lost central vision, which matches the client's symptoms of decreased central vision.
Question 3 of 5
A client newly diagnosed with glaucoma has a history of asthma. Which of the following medications newly prescribed by the eye doctor will the nurse question?
Correct Answer: B
Rationale: Reason: Antibiotics are not contraindicated for a client with glaucoma and asthma, as they can treat or prevent infections that may affect the eye or the respiratory system. Reason: This is the correct answer because non-selective beta blockers are contraindicated for a client with glaucoma and asthma, as they can reduce intraocular pressure but also cause bronchoconstriction and exacerbate asthma symptoms. Reason: NSAIDs are not contraindicated for a client with glaucoma and asthma, as they can reduce inflammation and pain that may affect the eye or the respiratory system. Reason: Anticoagulants are not contraindicated for a client with glaucoma and asthma, as they can prevent or treat thromboembolic events that may affect the eye or the respiratory system.
Question 4 of 5
A client admitted after a motor vehicle accident arrives with a Glasgow coma score (GCS) of 14 with a mild headache. 4 hours later, the client's GCS has decreased to 10 , and now has a dilated pupil on the left side. Which of the following acute traumatic brain injuries does the nurse suspect the client has suffered?
Correct Answer: D
Rationale: Epidural hematoma is suspected due to the lucid interval and dilated pupil on the opposite side, indicating third cranial nerve compression. Lacerations, subdural hematomas, and intracerebral hemorrhages do not typically present this way.
Question 5 of 5
A client asks the nurse to explain what metabolic syndrome is. Which of the following will the nurse include in education about risk factors for this syndrome?
Correct Answer: A,B,C,D,E
Rationale: All listed factors—obesity, high blood pressure, high triglycerides, hypercholesterolemia, and hyperglycemia—are risk factors for metabolic syndrome, contributing to insulin resistance and cardiovascular disease.