ATI RN
ATI Custom Medical Surgical Nurse Exam 2 Questions
Extract:
Question 1 of 5
A nurse is planning care for several clients and is considering the clients' risk for stroke. Which of the following conditions places the client at risk for an ischemic embolic stroke?
Correct Answer: C
Rationale: Chronic atrial fibrillation increases the risk of ischemic embolic stroke due to clot formation in the heart. Other conditions may cause different stroke types.
Question 2 of 5
A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record?
Correct Answer: B
Rationale: The postictal phase follows a seizure, characterized by difficulty arousing and sleepiness. Absence seizures, automatisms, and aura phase do not describe this state.
Question 3 of 5
A nurse is completing a neurovascular check for a client who had an open reduction internal fixation surgery. Which of the following findings should the nurse identify as possible manifestations of compartment syndrome? (Select all that apply)
Correct Answer: A,B,C
Rationale: Absence of pulse, altered sensation, and cool skin indicate compartment syndrome due to increased pressure impairing blood flow and nerve function. Pain relief by narcotics and normal capillary refill are not typical signs.
Question 4 of 5
A nurse is collecting data from a client who has a traumatic head injury. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: A
Rationale: Sudden sleepiness may indicate increased intracranial pressure, a life-threatening complication requiring immediate reporting. Headache, diplopia, and ataxia are concerning but less urgent.
Question 5 of 5
A nurse enters a client's room and finds the client on the floor in the clonic phase of a tonic-clonic seizure. Which of the following interventions should the nurse take?
Correct Answer: D
Rationale: Placing a pillow under the head protects the client from head injury during a seizure. Inserting objects, restraining, or forcing a supine position can cause harm or worsen the seizure.