ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has headaches. In determining a diagnosis, which of the following precipitating factors is common in both tension-type headaches and cluster headaches?
Correct Answer: D
Rationale: Stress is a common precipitating factor for both tension-type headaches, through muscle tension, and cluster headaches, though the exact mechanism is less clear.
Question 2 of 5
A client who has a history of migraines comes into the clinic reporting 'tingling of the face' and blind spots in the eyes. Which of the following phases of a migraine is the client experiencing?
Correct Answer: B
Rationale: The aura phase involves neurological symptoms like visual disturbances (blind spots) and sensory symptoms (tingling), which match the client's symptoms. Prodrome involves subtle warning signs like fatigue, postdrome involves lingering symptoms like fatigue, and the headache phase focuses on pain, not these specific neurological symptoms.
Question 3 of 5
A nurse is teaching a client who has a complete spinal cord injury about bowel and bladder management. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: Stool softeners, suprapubic or self-intermittent catheterization, and digital stimulation address common bowel and bladder dysfunctions in spinal cord injuries, preventing complications like constipation and urinary retention.
Question 4 of 5
Which precaution is most important for a client with MRSA?
Correct Answer: A
Rationale: MRSA requires contact precautions to prevent skin-to-skin or surface transmission.
Question 5 of 5
A nurse is caring for a client who has a spinal cord injury at the fourth cervical level. Which of the following mobility options should the nurse anticipate for this client?
Correct Answer: B
Rationale: A sip-and-puff device is appropriate for a C4 spinal cord injury, as it allows control of a powered wheelchair using breath, accommodating limited or no upper extremity function. Manual and ultra-light wheelchairs require upper limb strength, and drive-adapted wheelchairs typically need some hand function, making them less suitable.