ATI RN
ATI Med Surg Exam 1 2024 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching to a group of nursing students about possible psychosocial changes a client might have after sustaining a neurologic injury such as increased intracranial pressure. Which of the following psychosocial changes should the nurse include in the teaching?
Correct Answer: A
Rationale: Neurologic injuries like increased intracranial pressure can impair social cognition and inhibitory control, leading to difficulties in social interactions and impulsivity. Options B, C, and D are incorrect as neurologic injuries typically cause mood instability, persistent psychosocial challenges, and strained relationships rather than improvements.
Question 2 of 5
A nurse is reinforcing teaching to a group of high school students about how penetrating traumatic brain injuries cause damage to the brain. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The extent of brain damage in penetrating traumatic brain injuries depends on factors like the size, shape, velocity, and route of the penetrating object through the brain tissue. Larger, faster-moving objects cause more extensive damage, while smaller or slower objects may cause localized damage.
Question 3 of 5
A nurse is planning care for a client who has a traumatic brain injury (TBI). Which of the following nursing interventions should be added to the plan of care?
Correct Answer: A,B,C,D,E
Rationale: All listed interventions are appropriate: pain management prevents agitation and increased intracranial pressure; ventriculostomy ensures accurate cerebrospinal fluid drainage; midline neck position maintains spinal stability; elevating the head to 30 degrees (not 150, assuming a typo) reduces intracranial pressure; enteral feedings support nutrition for recovery.
Question 4 of 5
Which of the following is a manifestation of postoperative shock?
Correct Answer: C
Rationale: Hypotension and confusion are classic signs of shock, including postoperative shock. Hypotension indicates inadequate perfusion of vital organs, while confusion may result from cerebral hypoperfusion. Altered mental status, such as confusion, is a significant neurological manifestation of shock.
Question 5 of 5
A nurse is planning care for a client who has a severe traumatic brain injury (TBI). Which of the following should the nurse include in the plan of care? (Select All that Apply.)
Correct Answer: A,B,C,D,E
Rationale: All listed assessments are critical for evaluating neurological function, airway protection, consciousness, intracranial pressure, and brain damage in a client with severe TBI.