ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an intracranial aneurysm and requires aneurysm precautions. Which of the following interventions should the nurse take?
Correct Answer: C
Rationale: Minimizing stimuli reduces stress and blood pressure, lowering the risk of aneurysm rupture.
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 assessing a client who has meningitis and notes when passively flexing the client's neck there is an involuntary flexion of both legs. Which of the following conditions is the client displaying?
Correct Answer: D
Rationale: Brudzinski's sign is characterized by involuntary flexion of the hips and knees when the neck is passively flexed, indicating meningeal irritation commonly seen in meningitis.
Question 5 of 5
The nurse anticipates that the client presenting with increased intracranial pressure would most likely exhibit which set of vital signs?
Correct Answer: A
Rationale: Cushing's triad (hypertension, bradycardia, irregular respirations) is characteristic of increased intracranial pressure, reflecting brainstem compression.