ATI RN
ATI Med Surg Woolery Final Exam Questions
Question 1 of 5
A nurse is providing education to a group of older adults about the signs and symptoms of a myocardial infarction. Which of the following is not a sign of a myocardial infarction?
Correct Answer: D
Rationale: Peripheral edema is typically associated with heart failure, not an acute myocardial infarction.
Question 2 of 5
A nurse educator is providing an educational in-service about various neurological disorders. Which statement should be included when teaching about Guillain-Barre Syndrome?
Correct Answer: D
Rationale: Guillain-Barre Syndrome is an autoimmune condition affecting the peripheral nervous system.
Extract:
Nurses' Notes
0600:
Client was brought to the emergency department by her husband for complaints of abdominal pain 8/10 in all quadrants. Client is alert and oriented x4, states she has had a fever, nausea, and vomiting "off and on" for 2 days. Existing medical conditions include insulin-dependent type-2 diabetes, hypertension, and end-stage renal disease. Abdomen assessed, found to be rigid and distended. Rebound tenderness noted on palpation. Bowel sounds auscultated, hyperactive in all quadrants. Catheter present in abdominal wall, currently clamped. Client states "I do my own dialysis every day. Yesterday the effluent was cloudy. I haven't done an exchange yet today." STAT BMP and CBC have resulted. Physician notified. Awaiting orders.
Vital Signs
0600:
Temperature: 39.1°C (102.3°F)
Pulse rate: 110/min
Respiratory rate: 24/min
Blood pressure: 123/70 mmHg
Oxygen saturation: 95% room air
Laboratory results
0600:
BMP:
Creatinine: 3.8 mg/dL
Glucose: 180 mg/dL
Potassium: 5.4 mEq/L
Sodium: 134 mEq/L
BUN: 68 mg/dL CBC:
WBC: 15,000/mm3
RBC: 4.3 x 10/μL
Platelets: 250,000/μL
Hemoglobin: 12 g/dL
Hematocrit: 39%
Question 3 of 5
The client is experiencing...... caused by.....
Correct Answer: A,B
Rationale: Peritonitis is indicated by abdominal pain, fever, and cloudy dialysis effluent, caused by peritoneal dialysis.
Extract:
Question 4 of 5
A client with a cold sore on the lip has been diagnosed with herpes simplex virus. Which neurological disorder may the client be at risk for in the future?
Correct Answer: D
Rationale: HSV can cause Bell's palsy by leading to inflammation of the facial nerve.
Question 5 of 5
A nurse is caring for a client who will begin a prolonged course of prednisone to treat a multiple sclerosis flare. What information should the nurse include in the education about this medication?
Correct Answer: C
Rationale: Prednisone can cause sodium retention, leading to fluid retention and hypertension.