ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has rightsided acoustic neuroma resulting in impairment of cranial nerves IX and X. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Placing suction equipment at the client's bedside is a correct action for a nurse to take when caring for a client who has impairment of cranial nerves IX and X, which control swallowing and prevent aspiration.
Question 2 of 5
A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache?
Correct Answer: A
Rationale: Increasing fluid intake can help replenish cerebrospinal fluid (CSF) that was lost during the lumbar puncture, which can reduce the pressure difference between the brain and spinal cord that causes the headache.
Question 3 of 5
A nurse is assessing a client who has a score of 6 on the Glasgow Coma Scale. The nurse should expect which of the following outcomes based on this score?
Correct Answer: A
Rationale: A score of 6 on the Glasgow Coma Scale indicates severe brain injury and coma. The client would need total nursing care and close monitoring.
Question 4 of 5
A nurse at a community health clinic is caring for a client who reports a headache and stiff neck. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Evaluating the client's neurological status is the first and most important action for this client, who has two classic signs of meningitis: headache and stiff neck.
Question 5 of 5
A client who recently suffered a stroke suffers from leftsided homonymous hemianopsia. What action does the nurse take when caring for the client during meal time?
Correct Answer: C
Rationale: Sit with the client at each meal and explain where to find the food. This would help the client orient themselves to their surroundings and locate their food using verbal cues and guidance from the nurse.