ATI RN
ATI Nsg 234 Med Surg Exam Neurologyendocrine And Sensory Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has quadriplegia due to a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mm Hg and suspects the client is experiencing autonomic dysreflexia. What should the nurse prioritize as the initial action?
Correct Answer: B
Rationale: Checking for a full bladder is the priority because bladder distension is a common trigger for autonomic dysreflexia in clients with spinal cord injuries, and relieving it can reduce the severe hypertensive response.
Question 2 of 5
A nurse is caring for a client diagnosed with Addison's disease who is at risk for Addisonian crisis. The nurse is aware that which of the following is the priority assessment?
Correct Answer: B
Rationale: Monitoring for signs of shock is the priority, as Addisonian crisis can lead to severe hypotension and shock, which requires immediate intervention.
Question 3 of 5
A nurse is caring for a client with hyperthyroidism. The nurse recognizes that beta blockers may be used for which of the following?
Correct Answer: B
Rationale: Beta blockers are commonly used to manage symptoms of tachycardia and palpitations associated with hyperthyroidism, as they help to decrease heart rate and reduce anxiety.
Question 4 of 5
A nurse is caring for a client who is postoperative following a subtotal thyroidectomy. The nurse assesses for the presence of Chvostek's sign to indicate which of the following electrolyte imbalances?
Correct Answer: A
Rationale: Chvostek's sign, a facial muscle spasm upon tapping, is a clinical indicator of hypocalcemia, often caused by accidental removal or damage to the parathyroid glands during thyroid surgery.
Question 5 of 5
A nurse is discussing discharge instructions to a client with a lumbar herniated disk and is prescribed a conservative treatment. The nurse provides instructions based on this treatment plan and suggests which of the following.
Correct Answer: A,B,C,D
Rationale: Reducing body weight, avoiding painful positions, attending physical and chiropractic therapy, and taking NSAIDs are all components of conservative treatment for a lumbar herniated disk to relieve pressure, manage pain, and promote recovery.