ATI RN
ATI Med Surg Npro 2000 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol (Haldol). The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following?
Correct Answer: A
Rationale:
Tongue thrusting and lip smacking are hallmark signs of tardive dyskinesia, a side effect of long-term haloperidol use.
Question 2 of 5
A nurse is planning care for a client who had a traumatic brain injury and is emerging restlessly from a coma. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Reducing stimuli prevents overstimulation in TBI recovery, minimizing agitation and aiding neurological stabilization.
Question 3 of 5
When caring for an unconscious client with increasing intracranial pressure, the nursing intervention that is contraindicated is:
Correct Answer: D
Rationale: Routine oropharyngeal suctioning can increase intracranial pressure by stimulating the vagus nerve, making it contraindicated.
Question 4 of 5
Which patient is most likely experiencing a pulmonary embolism (PE)?
Correct Answer: A
Rationale: The woman's symptoms of DVT (calf swelling) and chest pain with respiratory distress strongly suggest PE, a medical emergency.
Question 5 of 5
A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The butterfly facial rash is a hallmark of SLE, triggered by sunlight, unlike thickened skin seen in scleroderma.