ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
A nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing increased intracranial pressure (ICP). Which of the following assessment findings by the nurse supports this suspicion?
Correct Answer: B
Rationale: Restlessness indicates reduced cerebral perfusion, a sign of increased ICP, unlike meningitis-specific signs like nuchal rigidity or photophobia.
Question 2 of 5
A nurse is caring for a client who has right-sided acoustic neuroma resulting in impairment of cranial nerves IX and X. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Impairment of cranial nerves IX and X increases aspiration risk due to impaired swallowing and gag reflex, necessitating suction equipment.
Question 3 of 5
A nurse is caring for a client who has an intracranial aneurysm and requires aneurysm precautions. Which of the following interventions should the nurse take?
Correct Answer: C
Rationale: Minimizing stimuli reduces stress and blood pressure, lowering the risk of aneurysm rupture.
Question 4 of 5
A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following medication would the nurse anticipate to administer?
Correct Answer: B
Rationale: IV lorazepam is the first-line treatment for acute seizure termination, acting quickly to suppress seizure activity.
Question 5 of 5
Which prescribed intervention should the emergency department nurse implement first for a patient who is experiencing continuous tonic-clonic seizures?
Correct Answer: B
Rationale: Administering lorazepam IV is the first-line treatment to terminate continuous seizures, prioritizing seizure cessation to prevent complications.