ATI RN
ATI Custom Medical Surgical Nurse Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record?
Correct Answer: B
Rationale: The postictal phase follows a seizure, characterized by difficulty arousing and sleepiness. Absence seizures, automatisms, and aura phase do not describe this state.
Question 2 of 5
A nurse is collecting data from a client who has a short arm cast for a fractured wrist. Which of the following findings indicates impaired venous return in the affected arm?
Correct Answer: B
Rationale: A bounding distal pulse suggests impaired venous return, indicating blood is not returning properly from the arm. Wheezing, fever, and pain have other causes.
Question 3 of 5
A client returns to the surgical unit from the PACU in skeletal traction. The nurses should take action to correct this. Which of the following problems with the traction setup?
Correct Answer: A
Rationale: Weights resting against the bed reduce traction effectiveness and must be corrected to hang freely. Other options describe correct traction setup.
Question 4 of 5
A nurse in the emergency department is assisting with the care of a client who has myasthenia gravis and is in crisis. The nurse should identify which of the following factors can cause a myasthenic crisis.
Correct Answer: B
Rationale: A respiratory infection can exacerbate myasthenia gravis symptoms, triggering a myasthenic crisis with severe breathing and swallowing difficulties. Overmedication, insufficient sleep, or exercise do not typically cause a crisis.
Question 5 of 5
A nurse is collecting data from a client who has increased intracranial pressure and is informed by the charge nurse that the client demonstrates decorticate posturing. Which of the following findings should the nurse expect to observe?
Correct Answer: C
Rationale: Decorticate posturing involves pronation of the hands with arms bent toward the chest, indicating brain damage. Other options describe decerebrate posturing or are incorrect.