ATI RN
ATI Med Surg Exam Neuro Questions
Extract:
Question 1 of 5
The nurse is creating an education plan for a client who has a recent diagnosis of Multiple Sclerosis (MS). Which of the following interventions should the nurse include in the client's plan?
Correct Answer: D
Rationale: Instructing the client on daily muscle stretching helps prevent muscle spasticity, stiffness, and contractures in clients with MS.
Question 2 of 5
A client is receiving rehabilitation for paralysis following a spinal cord injury and is diagnosed with reflex incontinence. Which of the following is the highest priority intervention the nurse should include in the plan of care?
Correct Answer: B
Rationale: Providing regular perineal care to prevent skin breakdown is the highest priority to reduce the risk of infection and pressure ulcers due to reflex incontinence.
Question 3 of 5
The nurse provides education to a client who is newly diagnosed with multiple sclerosis (MS). Which client statements indicate the need for additional teaching? SELECT ALL THAT APPLY
Correct Answer: B,C
Rationale: The statements 'I should not exercise because this may trigger an exacerbation' and 'I should alternate the eye patch every other day to help with the double vision' indicate the need for additional teaching, as exercise is beneficial for MS and alternating eye patches is not the correct management for double vision.
Question 4 of 5
A nurse is teaching a client who has a new prescription for sumatriptan (Imitrex) tablets to treat migraine headaches. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: If you experience chest pain, call your physician immediately. This instruction is correct because chest pain is a serious and potentially life-threatening side effect of sumatriptan. Chest pain may indicate a heart attack or coronary artery spasm, which require immediate medical attention.
Question 5 of 5
A client with myasthenia gravis has lost 6 kg of weight over the last 2 months. What should the nurse suggest to improve this client's nutritional status?
Correct Answer: A
Rationale: Planning medication doses to occur before meals enhances muscle strength for chewing and swallowing, improving nutritional intake for clients with myasthenia gravis.