Questions 54

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ATI RN Test Bank

ATI Advanced Med Surg Cohort 4 Exam Questions

Extract:


Question 1 of 5

What action should the nurse include in completing a health history and physical assessment for a 36-yr-old female patient with possible multiple sclerosis (MS)?

Correct Answer: B

Rationale: Urinary symptoms like urgency, frequency, or incontinence are common in MS due to neurogenic bladder dysfunction, making this inquiry essential for assessing neurological involvement.

Question 2 of 5

Which information about a patient who has a new prescription for phenytoin (Dilantin) indicates that the nurse should consult with the health care provider before administration of the medication?

Correct Answer: A

Rationale: Elevated liver function tests suggest impaired liver metabolism, necessitating consultation before administering phenytoin.

Question 3 of 5

While the nurse is transporting a patient on a stretcher to the radiology department, the patient begins having a tonic-clonic seizure. Which action should the nurse take?

Correct Answer: B

Rationale: Timing and documenting seizure details are critical for accurate assessment and management, ensuring patient safety without harmful interventions like restraint or airway insertion.

Question 4 of 5

A patient in the emergency department with sudden-onset right-sided weakness is diagnosed with an intracerebral hemorrhage. Which information about the patient is most important to communicate to the health care provider?

Correct Answer: C

Rationale: Warfarin use increases bleeding risk, significantly impacting the severity and management of intracerebral hemorrhage.

Question 5 of 5

A 76-year-old woman arrives at the emergency department by ambulance with a possible stroke. Vital signs are pulse 90, blood pressure 150/100, respirations 20. Thirty minutes later, vital signs are pulse 78, blood pressure 170/90, respirations 24 and irregular. The nurse should take which action at this time?

Correct Answer: C

Rationale: Assessing the client's symptoms is crucial to monitor for stroke progression and guide interventions, especially with changing vital signs.

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