ATI RN
ATI Med Surg Npro 2000 Exam Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who has a leaking cerebral aneurysm. Which of the following manifestations should indicate to the nurse that the client is experiencing an increase in intracranial pressure (ICP)? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Pupillary changes, disorientation, headache, and slurred speech are all signs of increased ICP due to brain compression or impaired function. Neck pain may indicate meningeal irritation but is less specific.
Question 2 of 5
A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease. On which of the following medications should the nurse prepare to instruct the client?
Correct Answer: A
Rationale: Levodopa/carbidopa is the primary treatment for Parkinson's, increasing dopamine to control movement symptoms.
Question 3 of 5
A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values?
Correct Answer: A
Rationale: Elevated TSH is the hallmark of primary hypothyroidism as the pituitary compensates for low thyroid hormone production.
Question 4 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 5 of 5
A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Spironolactone, a potassium-sparing diuretic, causes hyponatremia by increasing sodium excretion.