ATI RN
ATI Nur201 FA2 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A client with multiple myeloma receiving chemotherapy has a temperature of 102.2 degrees Fahrenheit. The temperature was 99.2 degrees Fahrenheit six hours ago. The PRIORITY nursing intervention is to:
Correct Answer: A
Rationale: Administering an antipyretic to reduce the fever and notifying the primary health care provider are the priority actions. A rapid rise in temperature could indicate a serious infection.
Question 2 of 5
The night nurse in the cardiac ICU has just received a report on several patients. Which of the following clients should the nurse prioritize for rounds?
Correct Answer: A
Rationale: A patient with a new-onset of confusion and restlessness is a priority because these symptoms could indicate a serious condition such as hypoxia, electrolyte imbalance, or a neurological event like a stroke. These changes in mental status need to be evaluated immediately to prevent further complications.
Question 3 of 5
A client diagnosed with angina pectoris appears to be very anxious and states, 'So I had a heart attack, right?' Which response should the nurse make to the client?
Correct Answer: C
Rationale: Explaining that the client did not have a heart attack but emphasizing the importance of monitoring and managing chest pain provides accurate information and reassurance.
Question 4 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 5 of 5
A client diagnosed with Parkinson's disease is struggling to adjust to the condition. The nurse educates the family on supporting the client with activities of daily living. Which statement by the family indicates that the teaching was effective?
Correct Answer: C
Rationale: Encouraging and praising the client's efforts to carry out activities of daily living is essential for promoting their independence and self-esteem. Positive reinforcement helps motivate the client.