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 caring for a client who had a rightsided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Reminding the client to look for food on the left side of the tray can help compensate for the loss of vision on the right side due to homonymous hemianopsia.
Question 3 of 5
When caring for the client with Alzheimer's disease, which of the following are appropriate items to include in the client's room?
Correct Answer: D
Rationale: Clocks, calendar, family photos are appropriate items to include in the room of a client with Alzheimer's disease. They can help the client maintain orientation to time, place, and person, and provide comfort and familiarity.
Question 4 of 5
A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache?
Correct Answer: A
Rationale: Increasing fluid intake can help replenish cerebrospinal fluid (CSF) that was lost during the lumbar puncture, which can reduce the pressure difference between the brain and spinal cord that causes the headache.
Question 5 of 5
A nurse is assessing a client who has a score of 6 on the Glasgow Coma Scale. The nurse should expect which of the following outcomes based on this score?
Correct Answer: A
Rationale: A score of 6 on the Glasgow Coma Scale indicates severe brain injury and coma. The client would need total nursing care and close monitoring.