Questions 54

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ATI Advanced Med Surg Cohort 4 Exam Questions

Extract:


Question 1 of 5

While the nurse is transporting a patient on a stretcher to the radiology department, the patient begins having a tonic-clonic seizure. Which action should the nurse take?

Correct Answer: B

Rationale: Timing and documenting seizure details are critical for accurate assessment and management, ensuring patient safety without harmful interventions like restraint or airway insertion.

Question 2 of 5

A nurse at a community health clinic is caring for a client who reports a headache and stiff neck. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Neurological assessment is the priority to identify potential emergencies like meningitis, guiding further management.

Question 3 of 5

A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Turning the client's head to the side prevents aspiration by allowing secretions or vomitus to drain, prioritizing airway protection during a seizure.

Question 4 of 5

A nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate?

Correct Answer: C

Rationale: Rest periods help manage fatigue, a common MS symptom, supporting energy conservation for clients with neurological symptoms.

Question 5 of 5

A patient with suspected meningitis is scheduled for a lumbar puncture. What action should the nurse take before the procedure?

Correct Answer: C

Rationale: Positioning the patient laterally facilitates lumbar puncture and minimizes complications like post-dural puncture headache.

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