ATI RN
ATI Med Surg Exam 9 Questions
Extract:
Question 1 of 5
A nurse reviewing a client's chart reads that the client was observed having a complex partial seizure with automatisms of the face. What does the nurse understand this to mean?
Correct Answer: D
Rationale: Complex partial seizures involve focal brain activity with impaired awareness, and automatisms like lip-smacking are involuntary facial movements (
Choice
D). Losing bladder control is typical of generalized tonic-clonic seizures (
Choice
A). Fixed, dilated eyes are not specific to complex partial seizures (
Choice
B). Involuntary groaning is less characteristic than facial automatisms (
Choice
C).
Question 2 of 5
A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client's risk of aspiration pneumonia?
Correct Answer: D
Rationale: Sitting the client upright at 90 degrees during feeding helps gravity direct food away from the lungs, reducing the risk of aspiration pneumonia.
Question 3 of 5
A client receiving parenteral nutrition by central venous access reports feeling unwell. The nurse assesses the client and suspects that the central line has become infected. Which of the following findings indicate that the client has developed a systemic infection? Select all that apply.
Correct Answer: B,E,F
Rationale: Purulent drainage, leukocytosis, and fever indicate a systemic infection, as they reflect bacterial invasion and immune response spreading beyond the local site.
Question 4 of 5
A nurse is assessing a client who has suffered a traumatic brain injury. When the nurse applies a stimuli to the client, which of the following responses by the client indicates that the client has suffered an extensive cervical spine injury?
Correct Answer: D
Rationale: Decerebrate positioning, characterized by extension and outward rotation of limbs, indicates severe brainstem or upper cervical spine injury, affecting vital functions.
Question 5 of 5
A client with a new diagnosis of trigeminal neuralgia is receiving education to prevent triggering an acute onset. Which of the following will the nurse include in teaching?
Correct Answer: D
Rationale: Alternative therapies like yoga, biofeedback, or meditation can help manage stress and reduce triggers for trigeminal neuralgia, unlike actions that stimulate the face.