ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
Which action should the nurse recognize as the highest priority for a patient who was admitted 16 hours earlier with a C5 spinal cord injury?
Correct Answer: C
Rationale: Respiratory assessment is critical due to the risk of impaired breathing from C5-level injury affecting the diaphragm.
Question 2 of 5
A nurse is caring for a client who has had a spinal cord injury at the level of the T2-T3 vertebrae. When planning care, the nurse should anticipate which of the following types of disability?
Correct Answer: A
Rationale: A spinal cord injury at T2-T3 typically results in paraplegia, affecting the lower extremities and possibly the trunk, due to the level of the lesion.
Question 3 of 5
A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?
Correct Answer: D
Rationale: A low GCS score indicates severe neurological impairment, suggesting the client is unconscious.
Question 4 of 5
A nurse is assessing a client who has meningitis and notes when passively flexing the client's neck there is an involuntary flexion of both legs. Which of the following conditions is the client displaying?
Correct Answer: D
Rationale: Brudzinski's sign is characterized by involuntary flexion of the hips and knees when the neck is passively flexed, indicating meningeal irritation commonly seen in meningitis.
Question 5 of 5
Which intervention should the nurse include in the plan of care for a patient with new right-sided homonymous hemianopsia after a stroke?
Correct Answer: D
Rationale: Placing objects on the left side compensates for the visual deficit, promoting safety and independence.