ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
An 84year old client is brought to the emergency department with reports that his mental status has slowly been declining. He fell 2 weeks ago but did not seek medical attention. Based on this information, what does the nurse suspect the client's diagnosis will be?
Correct Answer: D
Rationale: Subacute subdural hematoma: This is correct because subacute subdural hematomas occur within 2 to 14 days of head trauma and cause gradual and fluctuating changes in mental status, which may be mistaken for dementia or delirium.
Question 2 of 5
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Severe headache is a characteristic symptom of meningitis, caused by the irritation of the meninges and nerve endings by the infectious agent and inflammatory response.
Question 3 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 4 of 5
A nurse suspects that a client has increasing intracranial pressure. Which of the following diagnostics does the nurse anticipate will be ordered?
Correct Answer: D
Rationale: Magnetic resonance imaging (MRI) is a noninvasive imaging technique that can detect changes in brain tissue, blood flow, and fluid accumulation that may indicate increased intracranial pressure.
Extract:
You admit a client on day 1. After several days off, you are reassigned the same client. Click the tabs to review vital signs and nurse notes to review the client's progression.
Vital Signs Assessment Day 1:
Temperature 37.5° C (99.5° F) Blood pressure 198/96 mm Hg Heart rate 112/min
Respiratory rate 22/min
Oxygen saturation 96% on room air Day 7:
Temperature 38° C (100,4° F) Blood pressure 166/70 mm Hg Heart rate 68/min
Respiratory rate 20/min
Oxygen saturation 97% on room air
Question 5 of 5
For each client finding, click to specify if the finding could indicate Parkinson's disease, stroke, and/or multiple sclerosis. Each finding can support more than one disease process.
| Finding | Parkinson's disease | stroke | multiple sclerosis |
|---|---|---|---|
| Blood pressure | |||
| Facial symmetry | |||
| Cognitive function | |||
| Mobility status | |||
| Speech |
Correct Answer: A,B,C,D,E
Rationale: Blood pressure changes can occur in stroke and MS due to autonomic dysfunction. Facial asymmetry is common in stroke. Cognitive impairment can occur in all three. Mobility issues are seen in all three due to motor deficits. Speech difficulties can occur in stroke and MS.