ATI RN
ATI Med Surg Woolery Final Exam Questions
Extract:
Question 1 of 5
A client has been diagnosed with age-related macular degeneration (AMD). Which change in vision would the nurse expect a client with AMD to report?
Correct Answer: A
Rationale: AMD affects the macula, responsible for central vision and fine detail, leading to loss of central vision and distortion of straight lines.
Question 2 of 5
Which information will the nurse include when teaching a patient who is scheduled for a radiofrequency catheter ablation for treatment of atrial flutter?
Correct Answer: A
Rationale: Radiofrequency catheter ablation uses electrical energy to ablate areas causing abnormal electrical signals.
Question 3 of 5
A client who is postoperative following a transurethral resection of the prostate (TURP) is receiving continuous bladder irrigation. The nurse notes that the urine output has slowed significantly, and the urine is bright red. Which is the priority nursing action?
Correct Answer: A
Rationale: Bright red urine and slowed output may indicate a clot or obstruction, requiring immediate notification of the surgeon.
Question 4 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
1000:
Client presents with reports of shortness of breath, dizziness, and "feelings of pressure" in jaw, neck, and left arm. Was mowing the lawn when feelings of discomfort began. Pressure has not subsided with rest. Provider updated, orders received.
1010:
Nitroglycerin sublingual tablet administered x2 doses, 5 min apart. Updated provider on diagnostic results.
1025:
Client states relief from discomfort after 2nd nitroglycerin tab, no current shortness of breath, dizziness, or feelings of pressure, continues to deny chest pain.
Provider updated, orders received.
Vital Signs
1000:
Temperature 36.4°C (97.6°F) Heart rate 112/min Respiratory rate 28/min
Blood pressure 146/74 mm Hg SaO2 93% on room air
1015:
Temperature 36.4°C (97,6°F) Heart rate 92/min Respiratory rate 24/min
Blood pressure 126/64 mm Hg
SaO2 96% on oxygen @ 2L/min via nasal cannula
Provider Orders
1005:
12 Lead EKG
Serum cardiac enzymes
Nitroglycerin 0.3 mg sublingual now, may repeat every 5 min for 2 additional doses for continued chest pain
Oxygen at 2 L/minute via nasal cannula for O2 saturation less than 95%
1030:
Schedule cardiac stress test Consult cardiology
Diagnostic Results
1010:
12 Lead EKG: Sinus tachycardia with ST depression Troponin I: 0.01 ng/mL
Troponin T: 0.03 ng/mL
Question 5 of 5
For each of the following findings in the client's medical record, click to specify if they are consistent with unstable angina or a myocardial infarction (MI). Each finding may support more than one disease process.
| Options | Unstable Angina | Myocardial Infarction |
|---|---|---|
| Client's response to nitroglycerin therapy (Unstable Angina) | ||
| Client's initial report of manifestations (Unstable Angina, Myocardial Infarction) | ||
| 12 Lead EKG report (Unstable Angina) | ||
| Troponin results (Unstable Angina) |
Correct Answer: A,B,C,D
Rationale: Nitroglycerin relief and normal troponins support unstable angina; symptoms and EKG findings can indicate both conditions.