ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the family of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Providing client supervision is correct because clients with Parkinson's disease are at risk of falls, aspiration, and medication errors.
Question 2 of 5
A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?
Correct Answer: A
Rationale: A GCS score of 3 for eye opening indicates that the client opens their eyes in response to speech.
Question 3 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.
Extract:
You admit a client on day 1. After several days off, you are reassigned the same client. Click the tabs to review vital signs and nurse notes to review the client's progression.
Vital Signs Assessment Day 1:
Temperature 37.5° C (99.5° F) Blood pressure 198/96 mm Hg Heart rate 112/min
Respiratory rate 22/min
Oxygen saturation 96% on room air Day 7:
Temperature 38° C (100,4° F) Blood pressure 166/70 mm Hg Heart rate 68/min
Respiratory rate 20/min
Oxygen saturation 97% on room air
Question 4 of 5
For each client finding, click to specify if the finding could indicate Parkinson's disease, stroke, and/or multiple sclerosis. Each finding can support more than one disease process.
| Finding | Parkinson's disease | stroke | multiple sclerosis |
|---|---|---|---|
| Blood pressure | |||
| Facial symmetry | |||
| Cognitive function | |||
| Mobility status | |||
| Speech |
Correct Answer: A,B,C,D,E
Rationale: Blood pressure changes can occur in stroke and MS due to autonomic dysfunction. Facial asymmetry is common in stroke. Cognitive impairment can occur in all three. Mobility issues are seen in all three due to motor deficits. Speech difficulties can occur in stroke and MS.
Extract:
Question 5 of 5
After performing a neurological assessment, the student nurse shares the following findings with the primary nurse: Visual fields full to confrontation with Intact extraocular movements. No nystagmus, midline protrusion of tongue, and negative Romberg test. Which of the following will the primary nurse tell the student nurse to document?
Correct Answer: B
Rationale: This choice is correct because the findings indicate that the visual fields, extraocular movements, cranial nerves IX and XII (glossopharyngeal and hypoglossal), and vestibular function are normal.