ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 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, contractures, sexual dysfunction, and UTIs are common due to autonomic disruption, immobility, and bladder dysfunction.
Question 2 of 5
A nurse is planning care for a client who has neurogenic shock following a spinal cord injury. Which of the following provider prescriptions should the nurse anticipate? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Lactated Ringers is correct for fluid resuscitation to restore intravascular volume. Dopamine is correct as a vasopressor to increase vascular tone and blood pressure. Epinephrine is correct for treating refractory hypotension by causing vasoconstriction and increasing cardiac output.
Question 3 of 5
A nurse is teaching a group of nursing students about spinal cord injuries in clients who are aged 65 years and older. Which of the following should the nurse identify as the most common cause of spinal cord injuries for this age group?
Correct Answer: A
Rationale: Falls are the most common cause of spinal cord injuries in those aged 65 and older due to age-related changes in balance, mobility, and bone density. Gunshot wounds, sporting accidents, and motor vehicle accidents are less common in this age group.
Question 4 of 5
A nurse is assessing a client who has tension pneumothorax. Which of the following findings should the nurse expect following tracheal deviation?
Correct Answer: C
Rationale: Tension pneumothorax causes decreased cardiac output due to compression of the heart and great vessels, reducing venous return and impairing cardiac function. Respiratory alkalosis may occur initially but is not directly tied to tracheal deviation, venous return decreases, and ventricular dilatation is not typical.
Question 5 of 5
A nurse is caring for a client who was involved in a motor vehicle accident. The client is alert and oriented and reports a loss of consciousness immediately after the accident. Which of the following additional manifestations should the nurse assess the client for?
Correct Answer: A,B,D
Rationale: Pupillary dilation, persistent headache, and difficulty waking are signs of potential neurological issues post-head injury, such as increased intracranial pressure or concussion. Hand tremors and foot drop are less directly related to immediate post-accident neurological assessment.