ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has degenerative disc disease. Which of the following assessment findings should the nurse understand might develop with this condition?(Select All that Apply.)
Correct Answer: B,C,D
Rationale: Paresthesia, foot drop, and intermittent pain result from nerve compression or irritation due to degenerative disc changes.
Question 2 of 5
A client with cirrhosis has ascites. Which dietary restriction is most important?
Correct Answer: A
Rationale: Low sodium reduces fluid retention, helping manage ascites.
Question 3 of 5
Which of the following are manifestations of a ruptured cerebral aneurysm? (Select All that Apply.)
Correct Answer: B,C,D,E
Rationale: Loss of consciousness, dilated pupil, visual disturbances, and nausea and vomiting are common manifestations of a ruptured cerebral aneurysm due to brain injury, nerve compression, or increased intracranial pressure. Light sensitivity and numbness on one side of the face are not typically direct manifestations.
Question 4 of 5
A nurse is caring for a client with a colostomy. Which action is appropriate?
Correct Answer: A
Rationale: Emptying the pouch when full prevents leakage and maintains skin integrity.
Question 5 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.