ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A home health nurse is making a home visit to a client with multiple sclerosis. The nurse reviews the home medications taken by the client. Which question should the nurse ask to determine the effectiveness of the client's medication, baclofen (Lioresal)?
Correct Answer: D
Rationale: Asking about spasms directly assesses baclofen's effectiveness, as it is prescribed to reduce muscle spasms in MS.
Question 2 of 5
A nurse working in the Neuro ICU is caring for a client who has been recently diagnosed with Guillain Barre Syndrome. Which of the following clinical manifestations should the nurse assess for?
Correct Answer: B
Rationale: Bilateral ascending weakness, starting in the lower extremities, is a hallmark of GBS due to autoimmune attack on peripheral nerve myelin.
Question 3 of 5
The nurse is assessing a client who is diagnosed with heart failure and reports slight limitation of physical activity, is comfortable at rest but ordinary physical activity causes symptoms. What heart failure classification does this patient fall under?
Correct Answer: A
Rationale: Class II heart failure, per NYHA classification, involves slight limitation in physical activity with symptoms during ordinary activity, but comfort at rest.
Question 4 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 5 of 5
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, 'I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up.' Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
Correct Answer: D
Rationale: Adequate hydration thins mucus, facilitating clearance of tenacious bronchial secretions in COPD patients.