ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A client with COPD exacerbation has been ordered oral prednisone to be tapered over two weeks. Which of the following side effects does the nurse recognize could occur during prednisone therapy? [Select all that apply.]
Correct Answer: A,C,D
Rationale:
A) Prednisone can increase blood glucose levels, causing hyperglycemia.
C) Fluid retention is common due to sodium reabsorption.
D) Gastrointestinal distress, like gastritis, is a frequent side effect.
Question 2 of 5
How many milligrams of carbidopa is this patient taking per dose/tablet?
Correct Answer: B
Rationale: The label indicates each tablet contains 25 mg of carbidopa, combined with levodopa to enhance effectiveness and reduce side effects.
Question 3 of 5
COPD patient's chart - Nurse's Note (0800) 84-year-old male client with a chronic obstructive pulmonary disease (emphysema) history is admitted to the inpatient Med surge unit provider today. Upon admission, the client reports unusual increased shortness of breath and fatigue. The client is on 1 liter of oxygen via a nasal cannula; 02 saturation is 93%. The client's respiratory rate is 30 bpm with accessory muscle use, heart rate is 125 bpm, and blood pressure is 127/89 mmHg. The client has a barrel chest and extremities. On call provided paged, pending call back. Identify listed assessment findings as expected or findings that need to be reported to the provider.
| Options | Expected Findings | Findings to be reported to provider |
|---|---|---|
| Barrel chest: Expected Finding | ||
| Increased fatigue: Finding to be reported to the provider | ||
| Respiratory rate 40 bpm: Finding to be reported to the provider | ||
| Thin appearance: Expected Finding |
Correct Answer: A,B,C,D
Rationale: Barrel chest and thin appearance are expected in COPD; increased fatigue and tachypnea (40 bpm) indicate exacerbation, requiring reporting.
Question 4 of 5
The nurse working in the Neuro ICU is caring for a client with Guillain Barre Syndrome. Which of the following activities would be best assigned to the Licensed practical nurse (LPN)?
Correct Answer: D
Rationale: The administration of pain medications, including morphine, can be appropriately assigned to the LPN under the supervision of an RN. The LPN is trained to administer medications and monitor for common side effects such as respiratory depression, especially in clients who may be at risk due to their neurological condition.
Question 5 of 5
A nurse working in the cardiac icu is caring for client with suspected left sided heart failure. For which clinical manifestation should the nurse assess for?
Correct Answer: A
Rationale: Left-sided heart failure causes pulmonary congestion, leading to crackles in the lungs due to fluid accumulation.