ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
A patient is being admitted with possible stroke. Which information from the assessment indicates that the nurse should consult with the health care provider before giving a prescribed dose of aspirin?
Correct Answer: D
Rationale: Severe headache suggests possible hemorrhagic stroke, where aspirin could worsen bleeding.
Question 2 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.
Question 3 of 5
A 76-year-old woman arrives at the emergency department by ambulance with a possible stroke. Vital signs are pulse 90, blood pressure 150/100, respirations 20. Thirty minutes later, vital signs are pulse 78, blood pressure 170/90, respirations 24 and irregular. The nurse should take which action at this time?
Correct Answer: C
Rationale: Assessing the client's symptoms is crucial to monitor for stroke progression and guide interventions, especially with changing vital signs.
Question 4 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 5 of 5
The health care provider is considering the use of sumatriptan (Imitrex) for a 54-year-old male patient with migraine headaches. Which information obtained by the nurse is most important to report to the health care provider?
Correct Answer: A
Rationale: Sumatriptan is contraindicated in patients with recent myocardial infarction due to its vasoconstrictive effects, posing a cardiovascular risk.