ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic reflexic bladder. Which action should the nurse include in the plan of care?
Correct Answer: B
Rationale: Self-catheterization promotes independence and reduces infection risk, making it the preferred method for managing neurogenic bladder in spinal cord injury.
Question 2 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 3 of 5
A nurse is caring for a client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mm Hg and suspects the client is experiencing autonomic dysreflexia. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Assessing for bladder distention addresses the common trigger of autonomic dysreflexia, prioritizing the cause of the hypertensive crisis.
Question 4 of 5
Which problem should the nurse expect for a patient who has a positive Romberg test result?
Correct Answer: D
Rationale: A positive Romberg test indicates impaired balance and proprioception, increasing the risk of falls due to difficulty maintaining stability.
Question 5 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.