ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
Which precaution is most important for a client with MRSA?
Correct Answer: A
Rationale: MRSA requires contact precautions to prevent skin-to-skin or surface transmission.
Question 2 of 5
A client is receiving heparin therapy. Which lab value should the nurse monitor?
Correct Answer: A,C
Rationale: Heparin affects aPTT and can cause thrombocytopenia, requiring monitoring of both.
Question 3 of 5
A nurse is caring for a client who has spinal stenosis. Which of the following conditions should the nurse recognize as a risk factor for spinal stenosis?
Correct Answer: B
Rationale: Laminectomy, while a treatment for spinal stenosis, is incorrectly listed as a risk factor in the document. However, degenerative spinal changes, often linked to aging or prior spinal surgeries, are true risk factors. COPD, hysterectomy, and hyperthyroidism are not directly associated with spinal stenosis.
Question 4 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 5 of 5
Which of the following is true regarding the physiology of an open pneumothorax?
Correct Answer: C
Rationale: In an open pneumothorax, air moves freely in and out of the thoracic cavity through the chest wound, often producing audible sounds like sucking or bubbling. Air is not trapped, and it does not fail to pass through the wound.