ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has right-sided acoustic neuroma resulting in impairment of cranial nerves IX and X. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Impairment of cranial nerves IX and X increases aspiration risk due to impaired swallowing and gag reflex, necessitating suction equipment.
Question 2 of 5
A nurse is caring for a client who has right-sided acoustic neuroma resulting in impairment of cranial nerves IX and X. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Impairment of cranial nerves IX and X increases aspiration risk due to impaired swallowing and gag reflex, necessitating suction equipment.
Question 3 of 5
A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take.
Correct Answer: B,E,D,A,C
Rationale: The primary survey follows the ABCDE approach: airway (jaw-thrust), breathing (ventilatory efforts), disability (Glasgow Coma Scale), circulation (IV access), and exposure (remove clothing).
Question 4 of 5
A nurse is caring for a client who has an intracranial aneurysm and requires aneurysm precautions. Which of the following interventions should the nurse take?
Correct Answer: C
Rationale: Minimizing stimuli reduces stress and blood pressure, lowering the risk of aneurysm rupture.
Question 5 of 5
Which action should the nurse include in the plan of care for a patient who has cauda equina syndrome related to spinal cord injury?
Correct Answer: B
Rationale: Medications to reduce bladder spasm address urinary retention, a common issue in cauda equina syndrome.