ATI RN
ATI Nsg 234 Med Surg Exam Neurologyendocrine And Sensory Questions
Extract:
Question 1 of 5
A nurse is in the emergency department (ED) and is caring for a client that has arrived by ambulance after a cervical spinal cord injury. Which assessment should be the priority for the nurse to perform at this time?
Correct Answer: A
Rationale: Assessing respiratory status and airway patency is the highest priority in this situation due to the risk of respiratory compromise from cervical spinal cord injuries, which can affect the diaphragm and other respiratory muscles.
Question 2 of 5
A nurse is preparing to administer an IV osmotic diuretic to a client with increased intracranial pressure (ICP). Which of the following should the nurse identify as the purpose of the medication?
Correct Answer: A
Rationale: The primary purpose of administering an osmotic diuretic, such as mannitol, is to lower ICP by promoting diuresis, which results in increased urinary output and decreases fluid volume in the brain.
Extract:
History
A client presented to the hospital with primary hyperthyroidism. The client underwent thyroidectomy and is 1 day post op.
Question 3 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 4 of 5
A nurse is assessing a client with a history of Addison's disease admitted for surgery. The nurse is aware that which of the following is an expected assessment finding?
Correct Answer: B
Rationale: Hyperpigmentation, particularly in sun-exposed areas and skin folds, is a classic symptom of Addison's disease due to elevated ACTH levels.
Question 5 of 5
A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed-head injury. Which of the following positioning techniques should the nurse implement?
Correct Answer: C
Rationale: Log rolling helps maintain spinal alignment and minimizes abrupt head movement, which is essential in managing ICP.