ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 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 2 of 5
A high school teacher who has been diagnosed with epilepsy after having a generalized tonic-clonic seizure tells the nurse, 'I cannot teach anymore. It will be too upsetting if I have a seizure at work.' How should the nurse respond to specifically address the patient's concern?
Correct Answer: C
Rationale: Reassuring the patient that epilepsy can often be controlled with medications directly addresses their fear of having a seizure at work, supporting their ability to continue teaching.
Question 3 of 5
A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following medication would the nurse anticipate to administer?
Correct Answer: B
Rationale: IV lorazepam is the first-line treatment for acute seizure termination, acting quickly to suppress seizure activity.
Question 4 of 5
A nurse is assessing a client who has meningitis and notes when passively flexing the client's neck there is an involuntary flexion of both legs. Which of the following conditions is the client displaying?
Correct Answer: D
Rationale: Brudzinski's sign is characterized by involuntary flexion of the hips and knees when the neck is passively flexed, indicating meningeal irritation commonly seen in meningitis.
Question 5 of 5
A nurse is caring for a client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mm Hg and suspects the client is experiencing autonomic dysreflexia. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Assessing for bladder distention addresses the common trigger of autonomic dysreflexia, prioritizing the cause of the hypertensive crisis.