ATI RN
ATI Nur201 FA2 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful to monitor?
Correct Answer: C
Rationale: Brain natriuretic peptide (BNP) levels are elevated in heart failure. Monitoring BNP levels helps assess the severity of heart failure and the effectiveness of treatment.
Question 2 of 5
A client is admitted to the hospital with a myasthenic crisis. The nurse should anticipate which potential precipitating factors for this event?
Correct Answer: C
Rationale: Taking too little of the prescribed medication is the primary precipitating factor for a myasthenic crisis. Inadequate levels of medication lead to insufficient acetylcholine at neuromuscular junctions, causing severe muscle weakness and potentially life-threatening respiratory failure.
Question 3 of 5
A nurse in the emergency department is caring for a client who is suspected to be in a cholinergic crisis. Which of the following factors should the nurse identify as a possible cause?
Correct Answer: D
Rationale: A cholinergic crisis occurs due to excessive accumulation of acetylcholine, often from taking too much of prescribed anticholinesterase medications.
Question 4 of 5
The nurse is assessing a client who is experiencing an acute episode of cholecystitis. Which of these clinical manifestations support this diagnosis?
Correct Answer: A
Rationale: Right upper quadrant pain is a common clinical manifestation of cholecystitis, which is inflammation of the gallbladder. The pain is often severe and can radiate to the back or shoulder.
Question 5 of 5
A client admitted to the hospital with suspected myasthenic crisis was prescribed edrophonium (Tensilon). The nurse misread the dosage and administered a higher dose than prescribed. The doctor has ordered an antidote to be given. What medication does the nurse anticipate administering?
Correct Answer: D
Rationale: Atropine is the antidote for edrophonium overdose, counteracting excessive acetylcholine accumulation.