ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is providing care for a client who is at risk of cerebral aneurysm rupture. Which of the following interventions should the nurse include in the care plan?
Correct Answer: B
Rationale: Maintaining the head of the bed between 30 and 45° is correct because it helps reduce intracranial pressure by promoting venous drainage from the brain, thus decreasing the risk of cerebral aneurysm rupture or rebleeding. Keeping lights at a medium level is not specific to preventing aneurysm rupture, hypotonic solutions can increase intracranial pressure, and repositioning does not directly address the risk of rupture.
Question 2 of 5
A client with a history of stroke has dysphagia. Which intervention is appropriate?
Correct Answer: C
Rationale: Thickened liquids reduce aspiration risk in clients with dysphagia.
Question 3 of 5
A client with atrial fibrillation is prescribed digoxin. Which finding indicates toxicity?
Correct Answer: A
Rationale: Nausea and yellow vision are classic signs of digoxin toxicity.
Question 4 of 5
A nurse is caring for a client who has degenerative disc disease and has been diagnosed with cauda equine syndrome. Which of the following would be an expected finding with this condition?
Correct Answer: C
Rationale: Weakness in one or both legs is an expected finding in cauda equina syndrome due to nerve root compression affecting motor function. Paralytic ileus, low blood pressure, and low potassium levels are not specific to this condition, though they may occur in other contexts.
Question 5 of 5
Which of the following are characteristics of nonallergic asthma? (Select All that Apply.)
Correct Answer: A,D,E,F
Rationale:
Choice A: No hypersensitivity to allergens is correct because nonallergic asthma is not triggered by allergen exposure, unlike allergic asthma.
Choice D: Asthma flare-ups with NSAID administration is correct as NSAIDs like aspirin can trigger symptoms in some with nonallergic asthma.
Choice E: Persistence of manifestations is correct since nonallergic asthma symptoms are often persistent without a seasonal pattern.
Choice F: Positive response to corticosteroids is correct as corticosteroids are effective in managing nonallergic asthma.