ATI MEDICAL SURGICAL NEUROSENSORY
AND MUSCULOSKELETAL EXAM|
UPDATE|COMPREHENSIVE FREQUENT
MOST-TESTED QUESTIONS AND
VERIFIED ANSWERS/SOLUTIONS
A nurse is planning care for a client who has a closed traumatic brain injury from
a fall and is receiving mechanical ventilation. Which of the following interventions
is the nurse's priority? - (ANSWER)Maintain a PaCO2 of approximately 35 mmHg.
A nurse is caring for a client who has a retinal detachment. Which of the following
findings should the nurse expect? - (ANSWER)Flashes of bright light
A nurse is caring for a client who has a spastic bladder following a spinal cord
injury. Which of the following actions should the nurse take to help stimulate
micturition? - (ANSWER)Stroke the client's inner thigh
A nurse is caring for a client who has viral meningitis. Which of the following
actions should the nurse take? - (ANSWER)Check capillary refill at least every 4
hr.
A nurse is caring for a client who has a history of status epilepticus and requires
seizure precautions. Which of the following actions should the nurse take? -
(ANSWER)Establish IV access
, 2
A nurse is teaching a client and her family about the diagnosis and treatment of
Alzheimer's disease. Which of the following statements should the nurse identify
as an indication that the family understands the teaching? - (ANSWER)"The
medications that treat Alzheimer's disease can help delay cognitive changes."
A nurse is assessing a client who has a new diagnosis of osteoarthritis. Which of
the following findings should the nurse expect? - (ANSWER)Crepitus with joint
movement; Decreased range of motion of the affected joint; Joint pain that
resolves with rest
A nurse is teaching a client who has osteoporosis and has a new prescription for
alendronate. Which of the following information should the nurse include in the
teaching? - (ANSWER)"Remain upright for 30 minutes after taking this
medication."
A nurse is planning care for a client following a lumbar puncture. Which of the
following actions should the nurse plan to take? - (ANSWER)Ensure that the client
lies flat for up to 12 hr
A nurse is assessing a client who has rheumatoid arthritis. Which of the following
findings should the nurse expect? - (ANSWER)Ulnar deviation
A nurse is caring for a client who is 72 hr postoperative following an above-the-
knee amputation and reports phantom limb pain. Which of the following actions
should the nurse take? - (ANSWER)Request a prescription for gabapentin for the
client