ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
A nurse is creating a plan of care for a client who has a history of tonic-clonic seizure disorder. Which of the following interventions should the nurse include? (Select all that apply.)
Correct Answer: B,D
Rationale: Oxygen and suction setups are essential for managing respiratory complications and airway clearance during seizures, enhancing patient safety.
Question 2 of 5
A patient admitted with possible stroke has been aphasic for 3 hours and has a current blood pressure (BP) of 174/94 mm Hg. Which order by the health care provider should the nurse question?
Correct Answer: C
Rationale: tPA is contraindicated after 3 hours of stroke symptom onset, increasing bleeding risk without benefit.
Question 3 of 5
A nurse is instructing a client's family members about feeding safety for a client who has dysphagia following a stroke. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Small bites reduce choking risk and facilitate safer swallowing in clients with dysphagia.
Question 4 of 5
A nurse is creating a plan of care for a client who has a history of tonic-clonic seizure disorder. Which of the following interventions should the nurse include? (Select all that apply.)
Correct Answer: B,D
Rationale: Oxygen and suction setups are essential for managing respiratory complications and airway clearance during seizures, enhancing patient safety.
Question 5 of 5
A patient has been taking phenytoin (Dilantin) for 2 years. Which action should the nurse take when evaluating possible adverse effects of the medication?
Correct Answer: B
Rationale: Phenytoin is associated with gingival hyperplasia, making inspection of the oral mucosa critical for detecting this adverse effect.