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 (
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 2 of 5
Which intervention is appropriate for a client with a pressure ulcer?
Correct Answer: B
Rationale: Repositioning reduces pressure on the ulcer, promoting healing and preventing worsening.
Question 3 of 5
A nurse is caring for a client who has multiple sclerosis and reports a tightening feeling around their torso. Which of the following conditions should the nurse recognize this finding indicates?
Correct Answer: A
Rationale: The MS hug is a tightening sensation around the torso caused by intercostal muscle spasms due to spinal cord lesions in MS. Lhermitte's sign involves electric shock-like sensations, paroxysmal spasms are involuntary contractions, and trigeminal neuralgia causes facial pain, none of which match the torso tightening.
Question 4 of 5
In which of the following types of pneumonia does consolidation involve the entire lobe of the lung?
Correct Answer: D
Rationale: Lobar pneumonia involves consolidation of an entire lung lobe, typically due to a single pathogen like Streptococcus pneumoniae. Bronchopneumonia causes patchy consolidation, empyema is pus in the pleural cavity, and severe pneumonia is a general term.
Question 5 of 5
A client is receiving chemotherapy. Which lab value should the nurse monitor closely?
Correct Answer: A,D
Rationale: Chemotherapy often causes leukopenia and thrombocytopenia, increasing infection and bleeding risks.