ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has neurogenic shock following a spinal cord injury. Which of the following provider prescriptions should the nurse anticipate? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Lactated Ringers is correct for fluid resuscitation to restore intravascular volume. Dopamine is correct as a vasopressor to increase vascular tone and blood pressure. Epinephrine is correct for treating refractory hypotension by causing vasoconstriction and increasing cardiac output.
Question 2 of 5
A nurse is caring for a client with a chest tube. What indicates the tube is functioning properly?
Correct Answer: C
Rationale: Fluctuation in the water seal chamber indicates the tube is patent and functioning.
Question 3 of 5
A nurse is providing teaching about potential complications to a client who has a spinal cord injury. Which of the following should the nurse include in the teaching as a common complication of spinal cord injuries? (Select All that Apply.)
Correct Answer: A,B,C,E
Rationale: Temperature sensitivity (
A) occurs due to autonomic disruption. Contractures (
B) result from immobility and spasticity. Sexual dysfunction (
C) stems from sensory and autonomic changes. UTIs (E) are common due to neurogenic bladder. Disc degeneration (
D) is related to aging, not directly to spinal cord injury.
Question 4 of 5
A nurse is caring for a client who presents to the hospital with manifestations of a thoracic injury. Which of the following diagnostic tools would the nurse anticipate the health care provider to order? (Select All that Apply.)
Correct Answer: B,C,D,E
Rationale: FAST, chest x-ray, thoracentesis, and ultrasound are diagnostic tools to assess thoracic injuries like hemothorax or pneumothorax. Pleural cavity decompression is an intervention, not a diagnostic tool.
Question 5 of 5
A client who has a history of migraines reports to a clinic with a throbbing headache. Which of the following questions should the nurse include in the assessment?(Select All that Apply.)
Correct Answer: A,B,D
Rationale: Nausea, light sensitivity, and olfactory disturbances are common migraine symptoms, aiding in diagnosis.