ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 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 2 of 5
After explaining the procedure for an electroencephalograph, which of the following statements by the client indicates teaching was not effective?
Correct Answer: B
Rationale: There is no risk of electric shock during an electroencephalograph. The electrodes only record the brain waves, they do not send any current to the brain.
Question 3 of 5
A client reports visual disturbances followed by debilitatingPain, nausea, and light sensitivity. When providing education for this client, what can the nurse include in teaching? Select all that apply
Correct Answer: A,B,D,E
Rationale: Identifying and avoiding triggers, getting adequate sleep, reducing stress, and noting that NSAIDs may be ineffective are key educational points for managing migraines.
Question 4 of 5
A client suspected of having a stroke is scheduled to have an angiogram. Which of the following is a priority action for the nurse?
Correct Answer: A
Rationale: Reviewing renal function labs is a priority action for the nurse because angiography involves the injection of contrast dye, which can cause nephrotoxicity in clients with impaired renal function.
Question 5 of 5
A nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate?
Correct Answer: B
Rationale: Implementing a schedule to include periods of rest helps prevent overexertion, which can worsen MS symptoms and increase the risk of relapse.