ATI RN
ATI Nur258 Med Surg 2 Final Exam Questions
Extract:
Question 1 of 5
A diabetes nurse educator is discussing 'sick day rules' with a client newly diagnosed with diabetes mellitus type 1. Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: It is crucial for clients with diabetes to continue taking insulin during illness, even if they are unable to eat. Insulin needs may increase due to stress or infection, and not taking insulin could lead to hyperglycemia or diabetic ketoacidosis. Checking blood sugar every 2 hours is correct, but insulin should not be omitted.
Question 2 of 5
A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Clean gloves are appropriate for contact with the client or the wound, as MRSA is transmitted through direct contact. This prevents contamination while assessing the client.
Question 3 of 5
The nurse is assessing a client with a new diagnosis of multiple sclerosis. Which manifestations would the nurse expect to see that are common early signs of multiple sclerosis?
Correct Answer: C
Rationale: Early signs of multiple sclerosis often include areas of numbness, weakness in the legs, and visual problems such as optic neuritis. These symptoms result from demyelination and nerve damage in the central nervous system.
Question 4 of 5
A nurse is assessing a client who has Parkinson disease. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Bradykinesia, or slowness of movement, is a hallmark symptom of Parkinson's disease. It is characterized by a gradual reduction in the speed of voluntary movements and is one of the primary motor symptoms associated with the disease.
Extract:
Nurses notes
Day 1:
Place the client on
Client reports fatigue, weight loss, and anorexia. Chemotherapy started as prescribed.
droplet precautions.
4 weeks later:
Client reports sore mouth and increased fatigue. Multiple bruises noted on elbows and legs.
Voided 350 mL of clear yellow urine.
Diagnostic results
Day 1:
Hematocrit (Hct) 38% (nl. 36-48%)
Hemoglobin (Hgb) 13 g/dL (nl. 12-16 g/dL)
Platelet 180,000/mm3 (nl. 150,000-400,000/mm3)
Total white blood cell (WBC) count 7000/mm3 (nl. 5,000-10,000/mm3)
4 weeks later:
Hct 35% (nl. 36-48%)
Hgb 11 g/dL (nl. 12-16 g/dL)
Platelet 100,000/mm3 (nl. 150,000-400,000/mm3)
Total WBC count 3000/mm3 (nl. 5,000-10,000/mm3)
with 0.9% sodium chloride every 4 hrs.
Question 5 of 5
For each potential healthcare provider's prescription at 4 weeks, click to specify if the prescription is anticipated, nonessential, or contraindicated for the client.
Correct Answer: A,C,E
Rationale: Placing the client on droplet precautions is anticipated to prevent infection in immunocompromised patients. A private room is anticipated to reduce infection risk. Rinsing the client's mouth with 0.9% sodium chloride is anticipated to manage sore mouth and maintain oral hygiene.