ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has a spinal cord injury and spasm-induced incontinence. Which of the following medications should the nurse anticipate a prescription for?
Correct Answer: D
Rationale: Oxybutynin (
D) is an anticholinergic that reduces bladder spasms and incontinence. Dulaglutide (
A) treats diabetes, Montelukast (
B) manages asthma, and Glatiramer (
C) is for multiple sclerosis, none of which address neurogenic bladder.
Question 2 of 5
Which of the following are risk factors for head injuries in older adults? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Decreased visual acuity contributes to falls due to poor depth perception and reduced peripheral vision. Polypharmacy increases fall risk through sedative or psychotropic medication effects. Weakness and frailty are age-related changes that heighten fall risk. Chronic hypertension can cause orthostatic hypotension or cerebrovascular issues like strokes, leading to falls. Motor vehicle crashes are less common in older adults, and previous military experience is not a common risk factor for fall-related head injuries.
Question 3 of 5
A client with a new tracheostomy requires suctioning. What is the priority action?
Correct Answer: A
Rationale: Sterile technique prevents infection in the tracheostomy site.
Question 4 of 5
A nurse is caring for a group of clients in a medical unit. Which of the following clients is at the highest risk for developing osmotic cerebral edema?
Correct Answer: B
Rationale: Rapid lowering of plasma glucose creates an osmotic gradient, causing brain cells to pull water from plasma, leading to cerebral edema.
Question 5 of 5
A nurse is caring for a client with a terminal illness. Which action supports emotional needs?
Correct Answer: A
Rationale: Open communication allows the client to express fears and concerns, supporting emotional well-being.