ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A client with history of myasthenia gravis is experiencing prolonged periods of weakness and difficulty breathing. The provider orders an edrophonium [Tensilon] test. Once the dose is administered, the client becomes weaker. The nurse interprets this test result as:
Correct Answer: D
Rationale: Worsening weakness after edrophonium suggests a cholinergic crisis, indicating excessive acetylcholinesterase inhibition from overmedication.
Question 2 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 3 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 4 of 5
A patient taking Digoxin is experiencing severe bradycardia, nausea and vomiting. A lab draw shows that their Digoxin level is 4 ng/mi (0.8-2.0 ng/ml). What management does the nurse anticipate the physician to order? Select all that apply.
Correct Answer: A,C,D
Rationale:
A) IV fluids aid in excreting excess digoxin.
C) Holding digoxin prevents worsening toxicity.
D) Digibind neutralizes digoxin in severe toxicity.
Question 5 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.