ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a patient with trigeminal neuralgia. Which medication to treat the patient's pain would the nurse question?
Correct Answer: D
Rationale: Oxycodone is an opioid analgesic that treats general pain but is not typically effective for the neuropathic pain of trigeminal neuralgia, which is better managed with anticonvulsants or muscle relaxants.
Question 2 of 5
The patient presents with a complaint of 'always dropping things and falling down.' During the neurologic assessment, the nurse observes that the patient's display of rapid alternating movements is slow and misses often. The patient also loses balance during the Romberg Test. What neurologic problem would the nurse suspect?
Correct Answer: C
Rationale: Cerebellar dysfunction causes coordination and balance issues, as seen in slow alternating movements and Romberg Test failure.
Question 3 of 5
While performing a neurologic assessment of the older adult patient, the nurse needs to consider which age-related changes?
Correct Answer: A
Rationale: Slower reaction time is a normal age-related change due to decreased neuronal processing speed.
Question 4 of 5
The client is admitted with complaints of photosensitivity, neck stiffness, and a 'thunderclap' headache. The nurse recognizes that these clinical manifestations would present with which type of stroke?
Correct Answer: C
Rationale: A thunderclap headache and neck stiffness are hallmark symptoms of subarachnoid hemorrhage, often due to aneurysm rupture.
Question 5 of 5
Which initial assessment finding(s) would the nurse expect in a client diagnosed with acute lymphocytic leukemia (ALL)?
Correct Answer: A
Rationale: Thrombocytopenia in ALL leads to petechiae and epistaxis due to low platelet counts, common initial findings at diagnosis.