ATI RN
Nursing Process Final Exam Questions Questions
Question 1 of 5
A patient asks the nurse what side effects to expect from a muscle relaxant medication that has been prescribed. Which of the ff. side effects should the nurse relate?
Correct Answer: B
Rationale: The correct answer is B: Drowsiness. Muscle relaxants can cause drowsiness as a common side effect due to their sedative properties. This can impair alertness and coordination, so it's crucial for the patient to be aware of this potential effect. Choice A, hypoglycemia, is not typically associated with muscle relaxants. Choice C, hypotension, is more commonly linked to medications like antihypertensives. Choice D, dyspnea, which is difficulty breathing, is not a common side effect of muscle relaxants. Therefore, the nurse should primarily focus on educating the patient about the potential side effect of drowsiness.
Question 2 of 5
The nurse knows which of the following statements about TPN and peripheral parenteral nutrition is true?
Correct Answer: C
Rationale: The correct answer is C because TPN (Total Parenteral Nutrition) is indeed given to patients with fluid restrictions, as it provides complete nutrition including fluids, electrolytes, and nutrients. On the other hand, PPN (Peripheral Parenteral Nutrition) is used for patients without fluid restrictions as it provides partial nutrition. A is incorrect because TPN is typically for long-term use and PPN for short-term use. B is incorrect as the caloric requirement does not determine the type of parenteral nutrition. D is incorrect because both TPN and PPN can be used for patients who are unable to eat orally.
Question 3 of 5
An adult has a central line in his right subclavian vein. The nurse is to change the tubing. Which of the following should be done?
Correct Answer: C
Rationale: The correct answer is C: Close the roller clamp on the new tubing after priming it. This step ensures that the tubing is primed with the solution and ready for use while preventing air from entering the central line. Option A is incorrect because using the present solution may introduce contamination. Option B is incorrect as connecting tubing before running fluid can introduce air into the line. Option D is incorrect as positioning the client on the right side does not prevent air embolism during tubing change.
Question 4 of 5
The nurse is aware that multiple sclerosis is a progressive disease of the central nervous system characterized by:
Correct Answer: D
Rationale: Step 1: Multiple sclerosis (MS) is a progressive disease affecting the central nervous system. Step 2: Axon degeneration occurs in MS, leading to impaired nerve signal transmission. Step 3: MS is characterized by sclerosed patches, or plaques, in the nervous system. Step 4: Demyelination of the brain and spinal cord is a hallmark feature of MS. Step 5: Therefore, all of the above choices are correct as they accurately describe key features of MS.
Question 5 of 5
Mr. Reyes is extremely confused. The nurse provide new information slowly and in small amounts because;
Correct Answer: A
Rationale: The correct answer is A. When someone is extremely confused, providing new information slowly and in small amounts can help prevent overwhelming stress and further confusion. This approach allows the individual to process information more effectively and reduces the risk of escalating confusion or delirium as a defense mechanism. Choices B, C, and D are incorrect because destruction of brain cells, teaching progression, and giving minimal information are not directly related to managing confusion in this scenario.