ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A nurse is providing education to a group of older adults about the risk of stroke. Which selections made by the group indicate an understanding of the teaching? Select All that Apply
Correct Answer: A,E
Rationale: Recognizing stroke symptoms (face, arm, speech changes) and lifestyle modifications (low sodium, limited alcohol, regular exercise) are correct stroke prevention strategies.
Question 2 of 5
A nurse is caring for a client who is unconscious following a cerebral hemorrhage. Which of the following nursing interventions is of highest priority?
Correct Answer: B
Rationale: Suctioning saliva from the client's mouth is the highest priority intervention, as it can prevent aspiration and maintain a patent airway.
Question 3 of 5
A nurse at a rehabilitation center is planning care for a client who had a left hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following goals should the nurse include in the client's rehabilitation program?
Correct Answer: C
Rationale: Establishing the ability to communicate effectively is an appropriate goal for a client with a left hemispheric CVA, which affects language functions.
Question 4 of 5
When providing education to a student nurse about ways to avoid increased intracranial pressure, which of the following will the nurse include in the instructions? (Select All that Apply.)
Correct Answer: A,B,C,D
Rationale: Consulting with dietary to manage fluid and sodium intake, keeping the head at 25 degrees or lower to promote venous drainage, dimming lights to reduce stimulation, and ordering a stool softener to prevent straining are all measures to avoid increased ICP.
Question 5 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.