ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
Which of the following clients is at the highest risk for developing osmotic cerebral edema?
Correct Answer: B
Rationale: Rapidly lowering plasma glucose levels creates an osmotic gradient between the brain and plasma, causing brain cells to pull water and result in cerebral edema. Hypokalemia, increased hemoglobin A1C, and elevated creatinine do not directly cause osmotic cerebral edema.
Question 2 of 5
A nurse is caring crees for a client who has a transection of the spinal cord at the level of cervical 7. Which of the following assessment findings should the nurse anticipate?
Correct Answer: A
Rationale: A complete spinal cord transection at C7 results in total loss of sensory and motor function below the injury level, making no sensation or movement the expected finding. Partial movement or sensation would indicate an incomplete injury, which is not consistent with a transection.
Question 3 of 5
A nurse is preparing to administer insulin. Which type is rapid-acting?
Correct Answer: B
Rationale: Insulin aspart is a rapid-acting insulin, used to manage postprandial glucose spikes.
Question 4 of 5
A client who has a history of migraines comes into the clinic reporting 'tingling of the face' and blind spots in the eyes. Which of the following phases of a migraine is the client experiencing?
Correct Answer: B
Rationale: The aura phase involves neurological symptoms like visual disturbances (blind spots) and sensory symptoms (tingling), which match the client's symptoms. Prodrome involves subtle warning signs like fatigue, postdrome involves lingering symptoms like fatigue, and the headache phase focuses on pain, not these specific neurological symptoms.
Question 5 of 5
A client with a history of stroke has dysphagia. Which intervention is appropriate?
Correct Answer: C
Rationale: Thickened liquids reduce aspiration risk in clients with dysphagia.