ATI RN
ATI Custom MS Nurse Questions
Extract:
Client 6 days post craniotomy for removal of an intracerebral aneurysm
Question 1 of 5
A nurse is collecting data from a client who is 6 days post craniotomy for removal of an intracerebral aneurysm. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure?
Correct Answer: D
Rationale: A nurse collecting data from a client who is 6 days post craniotomy for removal of an intracerebral aneurysm should monitor the client for hypertension as a manifestation of increased intracranial pressure. Increased intracranial pressure can cause changes in blood pressure, including hypertension.
Extract:
Client with epilepsy experiencing a tonic-clonic seizure
Question 2 of 5
A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy. The client begins to experience a tonic-clonic seizure. Identify the sequence of steps the nurse should follow.
Correct Answer: A,B,D,C
Rationale: The correct sequence of steps is: remain with the client and call for help, place the client in the lateral position, check the client for injuries, and reorient and reassure the client. This ensures safety, airway protection, and post-seizure care.
Extract:
Client postoperative following a total hip arthroplasty
Question 3 of 5
A nurse is contributing to the plan of care for a client who is postoperative following a total hip arthroplasty. Which of the following information should the nurse include?
Correct Answer: C
Rationale: When contributing to the plan of care for a client who is postoperative following a total hip arthroplasty, the nurse should include information on preventing hip flexion of the affected extremity. This can help prevent dislocation of the new hip joint and promote healing.
Extract:
Client with a traumatic head injury
Question 4 of 5
A nurse is collecting data from a client who has a traumatic head injury. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: A
Rationale: The nurse should report sudden sleepiness to the provider immediately if the client has a traumatic head injury. Sudden sleepiness can indicate an increase in intracranial pressure, which can be a life-threatening complication of a head injury.
Extract:
Client on the floor in the clonic phase of a tonic-clonic seizure
Question 5 of 5
A nurse enters a client's room and finds the client on the floor in the clonic phase of a tonic-clonic seizure. Which of the following interventions should the nurse take?
Correct Answer: D
Rationale: The nurse should place a pillow under the client's head if the client is on the floor in the clonic phase of a tonic-clonic seizure. This can help protect the client's head from injury during the seizure.