ATI RN
ATI Med Surg Adult Care 2 Questions
Extract:
Question 1 of 5
Which of the following clients is most at risk for traumatic brain injury?
Correct Answer: C
Rationale: A 18year old highschool graduate who is enrolling in the Army: This is correct because military personnel are at high risk of traumatic brain injury due to exposure to blasts, projectiles, falls, and assaults.
Question 2 of 5
A client arrives to the emergency department after a motor vehicle accident. The nurse records the following Glasgow Coma scores: E3, V2, M1. What is the best first action for the nurse to take.
Correct Answer: D
Rationale: Prepare the client for mechanical ventilation. This is the best first action because the client has Saclay has a very low Glasgow Coma score and may lose the ability to breathe spontaneously or maintain adequate oxygenation.
Question 3 of 5
A nurse is in a client's room when the client begins having a tonicclonic seizure. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Turning the client's head to the side is the first action that the nurse should take to prevent aspiration of saliva or vomitus and maintain a patent airway during a seizure.
Question 4 of 5
The nurse takes report on a client who was admitted with a severe headache, nausea, vomiting, photophobia, and a stiff neck. Which of the following is the priority intervention for the nurse to perform?
Correct Answer: C
Rationale: Administer penicillin. This is the priority intervention because it can treat bacterial meningitis, which is a life-threatening condition that requires immediate antibiotic therapy.
Question 5 of 5
A nurse is creating a plan of care for a client who has a history of tonicclonic seizure disorder. Which of the following interventions should the nurse Include? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Elevating side rails, placing the bed in the lowest position, providing suction, and keeping oxygen at the bedside are all appropriate interventions to ensure safety and manage potential complications during a seizure.