ATI RN
ATI n120 Med Surg Exam Questions
Extract:
Question 1 of 5
A client in the emergency department is being prepared to receive tissue plasminogen activator (tPA). The nurse knows that which of the following is true regarding this medication?
Correct Answer: D
Rationale: tPA dissolves clots in ischemic stroke within 3-4.5 hours, not for hemorrhagic stroke or head trauma, and not within 5-6 hours.
Question 2 of 5
The nurse knows that all of the following are features of ulcerative colitis except?
Correct Answer: C
Rationale: Skip lesions and cobblestone appearance are features of Crohn's disease, not ulcerative colitis, which has continuous inflammation.
Question 3 of 5
The nurse is caring for a patient who was admitted for seizures. All of the following precautions should be taken to promote a safe environment except which?
Correct Answer: C
Rationale: Bright lights can trigger seizures; other measures like call lights, padded rails, and calm environments enhance safety.
Question 4 of 5
A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin, which of following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Phenytoin is typically lifelong for seizure control; stopping it risks recurrence, indicating a need for further teaching, unlike the other correct statements.
Question 5 of 5
Which of the following is not a contraindication for the use of tissue plasminogen activator (tPA) in the treatment of stroke?
Correct Answer: C
Rationale: Age over 65 is not an absolute contraindication for tPA, unlike recent surgery, uncontrolled hypertension, or active cerebral hemorrhage, which increase bleeding risk.