ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer Tissue plasminogen activator (tPA). What is the likely reason the client will receive this treatment?
Correct Answer: D
Rationale: The client experienced an ischemic stroke is a reason to administer tPA, which is the standard treatment for this condition if given within 4.5 hours of symptom onset.
Question 2 of 5
A student nurse is asked by the preceptor to identify which of the assigned clients is at the highest risk for stroke. Which of the clients below, when selected by the student nurse, indicate an understanding of the highest risk factor for stroke?
Correct Answer: D
Rationale: A client treated for atrial fibrillation with clopidogrel (Plavor) Correct. Atrial fibrillation is a condition that causes irregular and rapid heartbeats, which can lead to blood clots forming in the heart and traveling to the brain, causing a stroke.
Question 3 of 5
A client arrives to the emergency department after a motor vehicle accident. The nurse records the following Glasgow Coma scores: E3, V2, M1. What is the best first action for the nurse to take.
Correct Answer: D
Rationale: Prepare the client for mechanical ventilation. This is the best first action because the client has Saclay has a very low Glasgow Coma score and may lose the ability to breathe spontaneously or maintain adequate oxygenation.
Question 4 of 5
A client is extremely drowsy, minimally responsive, and has a difficult time following commands. With vigorous stimulation the client awakens but quickly falls back asleep. What level of consciousness does this describe?
Correct Answer: B
Rationale: Obtunded is a state of decreased alertness and responsiveness, where the client is difficult to arouse and has limited interaction with the environment.
Question 5 of 5
When considering the client with a neurocognitive deficit, the nurse understands that which of the following are excitatory neurotransmitters?
Correct Answer: B,C
Rationale: Norepinephrine and Dopamine are excitatory neurotransmitters that increase arousal, alertness, attention, motivation, reward, and movement.