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 is experiencing Cushing's Triad following a depressed skull fracture. In addition to administering appropriate medications, which of the following nursing interventions should the nurse prioritize for this client?
Correct Answer: D
Rationale: Monitoring ICP is crucial in this situation, as Cushing's Triad indicates a potential increase in ICP, and timely interventions can prevent further complications.
Extract:
History
A client presented to the hospital with primary hyperthyroidism. The client underwent thyroidectomy and is 1 day post op.
Question 2 of 5
The nurse is assessing the client post-op and notes client is complaining of tingling of the finger-tips and assesses for . The nurse is aware if positive the client likely has related to during surgery
Correct Answer: A,B,C
Rationale: The nurse is assessing for Chvostek sign, which indicates hypocalcemia, likely due to disruption or removal of the parathyroid glands during thyroid surgery.
Extract:
Question 3 of 5
A nurse is planning care for a client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: Encouraging fluid intake at and between meals helps to dilute urine and can reduce the risk of urinary tract infections (UTIs) by promoting regular urination.
Question 4 of 5
A nurse is providing education regarding the adrenal cortex production of mineralocorticoids. The nurse should include that mineralocorticoids influence which of the following?
Correct Answer: B
Rationale: Mineralocorticoids, such as aldosterone, play a crucial role in regulating fluid and electrolyte balance by promoting sodium retention and potassium excretion in the kidneys.
Question 5 of 5
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? Select all that apply.
Correct Answer: A,B,D
Rationale: Hypertension, weakened gag reflex, and bradycardia are complications associated with cervical spinal cord injuries due to autonomic dysreflexia, cranial nerve involvement, and impaired sympathetic function, respectively.