ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
Which of the following questions should the nurse ask to assess a client presenting with a headache? (Select All that Apply.)
Correct Answer: A,B,D
Rationale: Nausea and vomiting (
A) are common migraine symptoms, aiding diagnosis. Sensitivity to light (
B), or photophobia, is a classic migraine symptom. Strange smells (
D) may indicate a migraine aura. Confusion (
C) is not typical for migraines, though some may have concentration issues during aura. Weakness (E) is not a standard migraine symptom but may reflect fatigue in some cases.
Question 2 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 3 of 5
A nurse is caring for a client who has multiple sclerosis. Which of the following assessment findings should the nurse anticipate with this client? (Select All that Apply.)
Correct Answer: B,C,E
Rationale: Memory issues (
B) are common due to cognitive involvement in MS. Lhermitte's sign (
C), an electric-shock sensation with neck movement, is a classic MS symptom. Central vision loss (E) occurs due to optic neuritis. Photosensitivity (
A) is not typical, and seizures (
D) are less common.
Question 4 of 5
A nurse is caring for a client in the intensive care unit who was admitted with severe head trauma and cerebral edema. The client opens their eyes spontaneously, is oriented, and obeys commands. Which of the following findings indicate the client is experiencing a decline in their condition? (Select All that Apply.)
Correct Answer: B,D,E,F
Rationale: Eyes opening to painful stimuli, confusion, mumbling inappropriate words, and failure to open eyes to name indicate decreased consciousness and worsening neurological status. Responding to name and stating the day of the week suggest intact consciousness and orientation.
Question 5 of 5
A client who has uncontrolled diabetes mellitus visits a clinic. Client reports numbness and tingling in the feet which keeps them up at night. The nurse explains this condition as a nerve disorder called peripheral neuropathy. Which of the following statements by the client indicates an understanding of what causes this condition?
Correct Answer: D
Rationale: Elevated blood sugar in uncontrolled diabetes damages nerves, causing peripheral neuropathy symptoms like numbness and tingling.