ATI RN
ATI Nur201 FA2 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a suspected diagnosis of Guillain-Barré syndrome (GBS). Which of the following questions should the nurse ask the client?
Correct Answer: B
Rationale: Guillain-Barr syndrome often follows a recent infection, such as a respiratory or gastrointestinal infection. The immune response to the infection can trigger an autoimmune reaction that damages the peripheral nerves, leading to the symptoms of GBS. Asking about recent infections helps establish a potential cause.
Question 2 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 3 of 5
The nurse is teaching a client with newly diagnosed asthma. Which instructions should the nurse include to reduce the likelihood of an asthma attack? (Select all that apply)
Correct Answer: A,B,C
Rationale: Avoiding smoking, calling 911 for red zone peak flow readings, and washing bedclothes in hot water are effective measures to reduce asthma attacks. Smoking and dust mites are triggers, and red zone readings indicate severe obstruction. Air fresheners can irritate airways, and inhalers are typically used 15-30 minutes before exercise.
Question 4 of 5
A client newly diagnosed with angina pectoris has taken two sublingual nitroglycerin tablets for chest pain. The chest pain is relieved, but the client now reports a headache. The nurse interprets that this most likely represents which response?
Correct Answer: A
Rationale: A headache is a common and expected side effect of nitroglycerin due to its vasodilatory effects, which increase blood flow to the head.
Question 5 of 5
A nurse is caring for a client who is found unresponsive and pulseless in their room. An ECG confirms the client is in pulseless ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?
Correct Answer: A
Rationale: Defibrillation is the appropriate intervention for pulseless ventricular tachycardia to restore a normal rhythm.