ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 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 2 of 5
A patient has been taking phenytoin (Dilantin) for 2 years. Which action should the nurse take when evaluating possible adverse effects of the medication?
Correct Answer: B
Rationale: Phenytoin is associated with gingival hyperplasia, making inspection of the oral mucosa critical for detecting this adverse effect.
Question 3 of 5
The health care provider is considering the use of sumatriptan (Imitrex) for a 54-year-old male patient with migraine headaches. Which information obtained by the nurse is most important to report to the health care provider?
Correct Answer: A
Rationale: Sumatriptan is contraindicated in patients with recent myocardial infarction due to its vasoconstrictive effects, posing a cardiovascular risk.
Question 4 of 5
A nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing increased intracranial pressure (ICP). Which of the following assessment findings by the nurse supports this suspicion?
Correct Answer: B
Rationale: Restlessness indicates reduced cerebral perfusion, a sign of increased ICP, unlike meningitis-specific signs like nuchal rigidity or photophobia.
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.