ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. Which of the following complications should the nurse monitor the client for? (Select all that apply.)
Correct Answer: B,D
Rationale: Weakened gag reflex and hypotension are complications of cervical spinal cord injury due to impaired autonomic and cranial nerve function.
Question 4 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 5 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.