ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A nurse receives a postsurgical endarterectomy client, what is the priority action for the nurse to take?
Correct Answer: B
Rationale: Performing a vascular assessment is essential to monitor the patency of the graft and the perfusion of the affected extremity.
Question 2 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 3 of 5
According to the ATI video case study, Cognition: Delirium and Dementia, which of the following is the best first action for the nurse to take when caring for a client with delirium?
Correct Answer: A
Rationale: Identify the underlying cause. This is correct because delirium is a reversible condition that is often caused by an underlying medical problem, such as infection, medication, or dehydration. Identifying and treating the cause can help resolve the delirium and prevent further complications.
Question 4 of 5
A client is observed with unilateral twitching of facial muscles and repetitive tongue thrusting, with a decrease in level of consciousness. When the nurse reports her findings to the physician, what type of seizure will she indicate she observed?
Correct Answer: C
Rationale: Complex partial. This is correct because complex partial seizures involve impaired consciousness and automatisms, such as lip smacking, chewing, or fidgeting. They may also involve focal motor activity, such as twitching of one side of the face or body.
Question 5 of 5
A student nurse is caring for a client with acute hemorrhagic stroke who was admitted 1 day ago. Which is the priority assessment finding for the student to report to the primary nurse?
Correct Answer: C
Rationale: difficulty speaking is the priority assessment finding because it indicates a worsening of the client's neurological status and a possible increase in intracranial pressure.