ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is providing care to a client who has Parkinson's disease and is having difficulty swallowing. Which of the following departments should the nurse plan to contact for a consultation?
Correct Answer: B
Rationale: Speech therapy (
B) is appropriate as speech-language pathologists assess and manage dysphagia, improving swallowing safety. Nutritional therapy (
A) addresses diet but not swallowing mechanics. Occupational therapy (
C) focuses on daily activities, not primarily swallowing. Respiratory therapy (
D) manages respiratory conditions, not dysphagia.
Question 2 of 5
A nurse is providing teaching about potential complications to a client who has a spinal cord injury. Which of the following should the nurse include in the teaching as a common complication of spinal cord injuries? (Select All that Apply.)
Correct Answer: A,B,C,E
Rationale: Temperature sensitivity (
A) occurs due to autonomic disruption. Contractures (
B) result from immobility and spasticity. Sexual dysfunction (
C) stems from sensory and autonomic changes. UTIs (E) are common due to neurogenic bladder. Disc degeneration (
D) is related to aging, not directly to spinal cord injury.
Question 3 of 5
A nurse is caring for a client in the intensive care unit who was admitted with severe head trauma and cerebral edema. The client opens their eyes spontaneously, is oriented, and obeys commands. Which of the following findings indicate the client is experiencing a decline in their condition? (Select All that Apply.)
Correct Answer: B,D,E,F
Rationale: Eyes opening to painful stimuli, confusion, mumbling inappropriate words, and failure to open eyes to name indicate decreased consciousness and worsening neurological status. Responding to name and stating the day of the week suggest intact consciousness and orientation.
Question 4 of 5
A client with heart failure reports dyspnea. Which action should the nurse take first?
Correct Answer: C
Rationale: Checking oxygen saturation assesses the client's respiratory status and guides further interventions.
Question 5 of 5
A nurse is teaching a client who has a complete spinal cord injury about bowel and bladder management. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A,B,C,E
Rationale: Stool softeners prevent constipation, suprapubic or self-intermittent catheterization manages bladder function, and digital stimulation aids bowel movements. Excessive fluid restriction is inappropriate as hydration prevents complications like urinary tract infections.