ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A nurse in the respiratory unit is caring for client who has a past medical history of heart failure and is currently admitted for asthma exacerbation. When reviewing the provider's orders further clarification is needed for which of the following medications?
Correct Answer: B
Rationale: Metoprolol, a beta-blocker, can exacerbate bronchospasm in asthma patients by blocking beta-2 receptors in the lungs, requiring clarification due to the client's asthma.
Question 2 of 5
A client with uterine cancer is being treated with internal radiation therapy (brachytherapy). What is the nurse's PRIORITY action when caring for this client?
Correct Answer: A
Rationale: Wearing a dosimeter badge and lead apron minimizes radiation exposure, prioritizing nurse safety during brachytherapy care.
Question 3 of 5
An older adult client with a history of heart failure is admitted to the hospital due to confusion, vision disturbance and anorexia for several days. The client has a pulse rate of 53 bpm, b/p of 116/68, respirations 16 and saturation of 97%. Which of the following medications does the nurse suspect could be causing the client's symptoms?
Correct Answer: A
Rationale: Confusion, vision disturbances, and anorexia are classic signs of digoxin toxicity, especially with bradycardia and a narrow therapeutic index.
Question 4 of 5
During a Tensilon test to determine if a patient has myasthenia gravis, the patient complains of cramping and becomes diaphoretic with increased oral secretions after receiving edrophonium IV. Vital signs are HR 55, BP 130/78, respiration 12 and saturation of 94%. What intervention should the nurse prepare to do?
Correct Answer: B
Rationale: Symptoms like cramping and increased secretions indicate cholinergic toxicity, requiring atropine to block excess acetylcholine effects.
Question 5 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.