ATI RN
ATI Nsg 234 Med Surg Exam Neurologyendocrine And Sensory Questions
Extract:
Question 1 of 5
A nurse is preparing information about eye health for a community health fair. Which of the following information related to risk factors for cataracts should the nurse include? SELECT ALL THAT APPLY.
Correct Answer: A,B,C,E
Rationale: Hypertension, family history, obesity, and increasing age are all risk factors for cataracts due to their effects on vascular health, genetic predisposition, metabolic changes, and natural aging processes. Wearing sunglasses is a preventive measure, not a risk factor.
Question 2 of 5
A nurse is caring for a client who has a mild traumatic brain injury (TBI). Which of the following manifestations should the nurse immediately report to the provider?
Correct Answer: C
Rationale: A change in the Glasgow Coma Scale score from 13 to 11 indicates a worsening level of consciousness and necessitates immediate reporting, as it may suggest increased intracranial pressure or other complications.
Question 3 of 5
The nurse is caring for a client who sustained a head injury in a motor vehicle accident and is diagnosed with a subdural hematoma and increased intracranial pressure. Which nursing intervention is appropriate for this client?
Correct Answer: D
Rationale: Implementing seizure precautions is critical as head injuries can lead to seizures, and ensuring the client's safety is a priority.
Question 4 of 5
A nurse is preparing information about eye health for a community health fair. Which of the following information related to risk factors for cataracts should the nurse include? SELECT ALL THAT APPLY.
Correct Answer: A,B,C,E
Rationale: Hypertension, family history, obesity, and increasing age are all risk factors for cataracts due to their effects on vascular health, genetic predisposition, metabolic changes, and natural aging processes. Wearing sunglasses is a preventive measure, not a risk factor.
Question 5 of 5
A nurse is screening clients for adrenal insufficiency. The nurse recognizes that which client is at greatest risk for adrenal insufficiency?
Correct Answer: C
Rationale: Prolonged daily steroid use, especially in an older adult, poses the greatest risk for adrenal insufficiency due to suppression of the hypothalamic-pituitary-adrenal (HP
A) axis.