ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
A physician tells the family of a client involved in a motorvehicle accident that the client sustained a coupcontrecoup injury. Which of the following statements by the nurse indicates an understanding of this type of traumatic brain injury?
Correct Answer: B
Rationale: A coupcontrecoup injury occurs when the brain hits the skull at the site of impact (coup) and then rebounds and hits the opposite side of the skull (contrecoup).
Question 2 of 5
According to the ATI video case study, Cognition: Delirium and Dementia, which of the following is the best first action for the nurse to take when caring for a client with delirium?
Correct Answer: A
Rationale: Identify the underlying cause. This is correct because delirium is a reversible condition that is often caused by an underlying medical problem, such as infection, medication, or dehydration. Identifying and treating the cause can help resolve the delirium and prevent further complications.
Question 3 of 5
A nurse caring for a client who had a rightsided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Reminding the client to look for food on the left side of the tray can help compensate for the loss of vision on the right side due to homonymous hemianopsia.
Question 4 of 5
The nurse caring for a client with a brain tumor will monitor for which of the following early signs of increased intracranial pressure?
Correct Answer: A
Rationale: This is the correct answer because a fixed dilated pupil indicates compression of cranial nerve III, which is an early sign of increased intracranial pressure.
Question 5 of 5
A nurse collects health history from a 65 year old client. Which of the following risk factors in the client's history put chồng at the highest risk for embolic stroke?
Correct Answer: D
Rationale: Mitral valve replacement is the highest risk factor for embolic stroke among the choices given.