ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
A patient in the emergency department with sudden-onset right-sided weakness is diagnosed with an intracerebral hemorrhage. Which information about the patient is most important to communicate to the health care provider?
Correct Answer: C
Rationale: Warfarin use increases bleeding risk, significantly impacting the severity and management of intracerebral hemorrhage.
Question 2 of 5
The nurse anticipates that the client presenting with increased intracranial pressure would most likely exhibit which set of vital signs?
Correct Answer: A
Rationale: Cushing's triad (hypertension, bradycardia, irregular respirations) is characteristic of increased intracranial pressure, reflecting brainstem compression.
Question 3 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 4 of 5
A nurse is caring for a client 4 hours following evacuation of a subdural hematoma. Which of the following assessments is the nurse's priority?
Correct Answer: B
Rationale: Respiratory status is the priority post-surgery due to risks of compromised airway or ventilation from altered consciousness or complications.
Question 5 of 5
A 70-year-old female patient with left-sided hemiparesis arrives by ambulance to the emergency department. Which action should the nurse take first?
Correct Answer: B
Rationale: Checking respiratory rate and effort ensures adequate oxygenation, prioritizing airway and breathing in suspected stroke cases.