ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A nurse is modifying the diet of a client who has Parkinson's disease and is prescribed selegiline, an MAOI. Which of the following foods should the nurse eliminate?
Correct Answer: C
Rationale: Cheddar cheese is a food that should be eliminated from the diet of a client who is taking selegiline, an MAOI, due to high levels of tyramine.
Question 2 of 5
A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?
Correct Answer: A
Rationale: A GCS score of 3 for eye opening indicates that the client opens their eyes in response to speech.
Question 3 of 5
A nurse working on a medical unit is caring for a client who is prescribed seizure precautions. Which of the following interventions should the nurse Include in the client's plan of care?
Correct Answer: A
Rationale: Obtaining IV access is an important intervention for a client who is prescribed seizure precautions, as it allows for the administration of anticonvulsant medications and fluids in case of a seizure.
Question 4 of 5
A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following is not an appropriate action for the nurse to take?
Correct Answer: B
Rationale: Placing the client's head on the nurse's lap may obstruct his airway and increase the risk of aspiration.
Question 5 of 5
A nurse at a community health clinic is caring for a client who reports a headache and stiff neck. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Evaluating the client's neurological status is the first and most important action for this client, who has two classic signs of meningitis: headache and stiff neck.