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 and has been diagnosed with cauda equine syndrome. Which of the following would be an expected finding with this condition?
Correct Answer: C
Rationale: Weakness in one or both legs is an expected finding in cauda equina syndrome due to nerve root compression affecting motor function. Paralytic ileus, low blood pressure, and low potassium levels are not specific to this condition, though they may occur in other contexts.
Question 2 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 3 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 are associated with degenerative disc disease due to nerve compression or irritation. Hyponatremia is unrelated to DDD, and hyperreflexia is not typically a hallmark of this condition, though it may occur in other neurological disorders.
Question 4 of 5
Which of the following are symptoms of multiple sclerosis? (Select All that Apply.)
Correct Answer: B,C,E
Rationale:
Choice A: Photosensitivity is incorrect because it is not a common symptom of multiple sclerosis, though visual disturbances like optic neuritis may occur.
Choice B: Memory issues is correct as cognitive impairment, including memory problems, is common in MS.
Choice C: Lhermitte's sign is correct, characterized by an electric shock-like sensation down the spine with neck flexion, often due to cervical spinal cord lesions.
Choice D: Seizures is incorrect as they are not typical in MS.
Choice E: Central vision loss is correct due to optic neuritis, a frequent MS symptom.
Question 5 of 5
A nurse is caring for a client with a spinal cord injury. Which complication is a priority to monitor?
Correct Answer: A
Rationale: Autonomic dysreflexia is a life-threatening complication of spinal cord injuries above T6.