ATI RN
ATI Med Surg Woolery Final Exam Questions
Extract:
Question 1 of 5
A client with diabetes and hypertension describes seeing 'floaters' and flashes of light in their field of vision. The nurse understands that this description is indicative of which disorder?
Correct Answer: A
Rationale: Floaters and flashes of light are classic symptoms of retinal detachment.
Question 2 of 5
A client is seen in a primary care provider's office. The client has gradually developed a stooped posture, shuffling gait, and a lack of facial expressions. Which medication should the nurse anticipate will be prescribed to treat these symptoms?
Correct Answer: C
Rationale: Carbidopa-levodopa treats Parkinson's disease symptoms like stooped posture and shuffling gait.
Extract:
Nurses' Notes
0900:
Client resting comfortably in bed. The client states that she has been experiencing progressive weakness of the facial muscles, and difficulty swallowing, which prompted her to seek treatment. She states that her muscle strength is usually better in the morning, and her facial muscles become more fatigued as she uses them throughout the day. Bilateral ptosis of eyelids noted. Client has difficulty talking during the assessment, and states that her jaw muscles became fatigued when she tried to eat breakfast this morning. Bilateral hand grip and upper extremity strength within normal limits, bilateral lower extremity strength and range of motion within normal limits. Client is scheduled for an edrophonium (Tensilon) test today.
Question 3 of 5
Based on the information provided, the client is likely experiencing..... which is caused by.......
Correct Answer: A,B
Rationale: Myasthenia Gravis symptoms include facial muscle weakness and fatigue, caused by autoantibodies targeting acetylcholine receptors.
Extract:
Nurses' Notes
0600:
Client was brought to the emergency department by her husband for complaints of abdominal pain 8/10 in all quadrants. Client is alert and oriented x4, states she has had a fever, nausea, and vomiting "off and on" for 2 days. Existing medical conditions include insulin-dependent type-2 diabetes, hypertension, and end-stage renal disease. Abdomen assessed, found to be rigid and distended. Rebound tenderness noted on palpation. Bowel sounds auscultated, hyperactive in all quadrants. Catheter present in abdominal wall, currently clamped. Client states "I do my own dialysis every day. Yesterday the effluent was cloudy. I haven't done an exchange yet today." STAT BMP and CBC have resulted. Physician notified. Awaiting orders.
Vital Signs
0600:
Temperature: 39.1°C (102.3°F)
Pulse rate: 110/min
Respiratory rate: 24/min
Blood pressure: 123/70 mmHg
Oxygen saturation: 95% room air
Laboratory results
0600:
BMP:
Creatinine: 3.8 mg/dL
Glucose: 180 mg/dL
Potassium: 5.4 mEq/L
Sodium: 134 mEq/L
BUN: 68 mg/dL CBC:
WBC: 15,000/mm3
RBC: 4.3 x 10/μL
Platelets: 250,000/μL
Hemoglobin: 12 g/dL
Hematocrit: 39%
Question 4 of 5
The client is experiencing...... caused by.....
Correct Answer: A,B
Rationale: Peritonitis is indicated by abdominal pain, fever, and cloudy dialysis effluent, caused by peritoneal dialysis.
Extract:
Question 5 of 5
A staff nurse is teaching a client who has secondary hypothyroidism about the disease process. The client asks the nurse what causes secondary hypothyroidism. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Secondary hypothyroidism is caused by inadequate TSH production by the pituitary gland.