ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
Which action should the nurse include in the plan of care for a patient who has cauda equina syndrome related to spinal cord injury?
Correct Answer: B
Rationale: Medications to reduce bladder spasm address urinary retention, a common issue in cauda equina syndrome.
Question 2 of 5
When assessing the client with meningitis, the nurse looks for which manifestation as a frequent first sign of increased intracranial pressure?
Correct Answer: B
Rationale: Changes in mood or attention level, such as irritability or confusion, are early signs of increased intracranial pressure due to altered cerebral perfusion.
Question 3 of 5
Which problem should the nurse expect for a patient who has a positive Romberg test result?
Correct Answer: D
Rationale: A positive Romberg test indicates impaired balance and proprioception, increasing the risk of falls due to difficulty maintaining stability.
Question 4 of 5
A patient is being admitted with possible stroke. Which information from the assessment indicates that the nurse should consult with the health care provider before giving a prescribed dose of aspirin?
Correct Answer: D
Rationale: Severe headache suggests possible hemorrhagic stroke, where aspirin could worsen bleeding.
Question 5 of 5
The nurse identifies a patient with type 1 diabetes and a history of herpes simplex infection as being at risk for Bell's palsy. Which information should the nurse include in teaching the patient?
Correct Answer: C
Rationale: Pain or herpes lesions near the ear may indicate impending Bell's palsy due to herpes simplex virus reactivation, necessitating prompt medical evaluation.