ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
Which information about the patient who had a subarachnoid hemorrhage is most important to communicate to the health care provider?
Correct Answer: D
Rationale: Hypotension indicates potential hemodynamic instability, requiring urgent intervention to ensure cerebral perfusion in subarachnoid hemorrhage.
Question 2 of 5
A nurse at a community health clinic is caring for a client who reports a headache and stiff neck. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Neurological assessment is the priority to identify potential emergencies like meningitis, guiding further management.
Question 3 of 5
A nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate?
Correct Answer: C
Rationale: Rest periods help manage fatigue, a common MS symptom, supporting energy conservation for clients with neurological symptoms.
Question 4 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 5 of 5
A patient who has been treated for status epilepticus in the emergency department will be transferred to the medical nursing unit. Which equipment should the nurse have available in the patient's assigned room? (Select all that apply.)
Correct Answer: A,E,F
Rationale: Suction tubing is necessary for clearing the airway of secretions or vomitus post-seizure. An oxygen mask is essential for providing supplemental oxygen if hypoxia occurs. Side rail pads prevent injury during postictal confusion or agitation.