ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
A nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate?
Correct Answer: C
Rationale: Rest periods help manage fatigue, a common MS symptom, supporting energy conservation for clients with neurological symptoms.
Question 2 of 5
Which intervention should the nurse include in the plan of care for a patient with new right-sided homonymous hemianopsia after a stroke?
Correct Answer: D
Rationale: Placing objects on the left side compensates for the visual deficit, promoting safety and independence.
Question 3 of 5
A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?
Correct Answer: D
Rationale: A low GCS score indicates severe neurological impairment, suggesting the client is unconscious.
Question 4 of 5
A nurse is performing a neurological assessment for a client who has head trauma. Which of the following assessments will give the nurse information about the function of cranial nerve III?
Correct Answer: B
Rationale: Cranial nerve III controls eye movements, and assessing up-and-down gaze tests its function.
Question 5 of 5
What action should the nurse include in completing a health history and physical assessment for a 36-yr-old female patient with possible multiple sclerosis (MS)?
Correct Answer: B
Rationale: Urinary symptoms like urgency, frequency, or incontinence are common in MS due to neurogenic bladder dysfunction, making this inquiry essential for assessing neurological involvement.