ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
When caring for the client with Alzheimer's disease, which of the following are appropriate items to include in the client's room?
Correct Answer: D
Rationale: Clocks, calendar, family photos are appropriate items to include in the room of a client with Alzheimer's disease. They can help the client maintain orientation to time, place, and person, and provide comfort and familiarity.
Question 2 of 5
According to the ATI video case study, Cognition: Delirium and Dementia, which of the following is the best first action for the nurse to take when caring for a client with delirium?
Correct Answer: A
Rationale: Identify the underlying cause. This is correct because delirium is a reversible condition that is often caused by an underlying medical problem, such as infection, medication, or dehydration. Identifying and treating the cause can help resolve the delirium and prevent further complications.
Question 3 of 5
A nurse is monitoring the vitals of a client who has a traumatic brain injury. Which of the following indicate that the client is in stage 3 of increased Intracranial pressure? Select all that apply
Correct Answer: B,C,D,E
Rationale: Stage 3 ICP is characterized by hypotension, widened pulse pressure, bradycardia with a bounding pulse, and uneven breathing due to severe brain compression.
Question 4 of 5
A nurse receives a postsurgical endarterectomy client, what is the priority action for the nurse to take?
Correct Answer: B
Rationale: Performing a vascular assessment is essential to monitor the patency of the graft and the perfusion of the affected extremity.
Question 5 of 5
The nurse takes report on a client who was admitted with a severe headache, nausea, vomiting, photophobia, and a stiff neck. Which of the following is the priority intervention for the nurse to perform?
Correct Answer: C
Rationale: Administer penicillin. This is the priority intervention because it can treat bacterial meningitis, which is a life-threatening condition that requires immediate antibiotic therapy.