ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A client with a diagnosis of multiple sclerosis is scheduled to receive plasmapheresis treatments. A nurse explains to the client's spouse that the purpose of plasmapheresis is to:
Correct Answer: D
Rationale: Plasmapheresis works by removing circulating antibodies from the bloodstream. In multiple sclerosis, the immune system mistakenly targets the myelin sheath, and plasmapheresis helps to remove the antibodies responsible for this autoimmune response. This can provide temporary relief of symptoms during acute flare-ups of MS by reducing the immune system's attack on the nervous system.
Question 2 of 5
A nurse receives the following medication orders while caring for multiple clients. Which medication should the nurse plan to administer first?
Correct Answer: C
Rationale: Crushing chest pain suggests a possible myocardial infarction, a life-threatening condition requiring immediate administration of nitroglycerin to improve coronary blood flow.
Question 3 of 5
The patient asks the nurse what the P Wave indicates on an EKG strip. The nurse informs the patient that the P Wave represents:
Correct Answer: D
Rationale: The P wave represents the passage of the electrical impulse through the atria, leading to atrial depolarization and contraction, initiating the cardiac cycle.
Question 4 of 5
A nurse is caring for a client who taking benztropine to treat Parkinson's disease. The nurse should instruct the client to monitor and report which of the following side effects of benztropine?
Correct Answer: C
Rationale: Benztropine's anticholinergic effects can cause urinary retention by inhibiting bladder muscle contraction.
Question 5 of 5
A client with Parkinson's disease is prescribed carbidopa-levadopa [Sinemet]. Which of the following side effects does the nurse recognize can occur with this medication?
Correct Answer: D
Rationale: Orthostatic hypotension is a well-recognized and common side effect of carbidopa-levodopa. This occurs because Sinemet affects the autonomic nervous system, which can cause a decrease in blood pressure when moving from a sitting or lying position to standing. Patients on carbidopa-levodopa should be advised to rise slowly to minimize the risk of dizziness or fainting due to orthostatic hypotension.