ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has multiple sclerosis. The client reports that, since the onset of the disease, there are times when their symptoms are active and then followed by a period with no symptoms. Which of the following types of multiple sclerosis does this pattern indicate?
Correct Answer: B
Rationale: Relapsing-remitting MS (
B) involves relapses with symptoms followed by remissions, matching the client's pattern. Primary progressive (
A) shows steady worsening, clinically isolating syndrome (
C) is a single episode, and secondary progressive (
D) follows RRMS with gradual decline.
Question 2 of 5
A nurse is caring for a client who has chronic migraine headaches. The client asks the nurse if it could be a cerebral aneurysm. Which of the following responses should the nurse use?
Correct Answer: D
Rationale: Most cerebral aneurysms are asymptomatic until rupture, unlike migraines which cause recurring headaches. Seizures, nausea, vomiting, and stiff neck are not typical unless the aneurysm ruptures.
Question 3 of 5
A client with a history of myocardial infarction is prescribed aspirin. What is the purpose?
Correct Answer: B
Rationale: Aspirin prevents platelet aggregation, reducing the risk of further clot formation.
Question 4 of 5
Which of the following are adverse effects of methylprednisolone? (Select All that Apply.)
Correct Answer: C,D,E
Rationale: Delayed wound healing is correct because corticosteroids suppress inflammation and collagen synthesis, impairing wound healing. Hirsutism is correct as long-term corticosteroid use can cause excessive hair growth due to effects on hair follicles. Hyperglycemia is correct because corticosteroids promote gluconeogenesis and insulin resistance, increasing blood glucose levels.
Question 5 of 5
A nurse is planning care for a client who has a spinal cord injury and spasm-induced incontinence. Which of the following medications should the nurse anticipate a prescription for?
Correct Answer: D
Rationale: Oxybutynin (
D) is an anticholinergic that reduces bladder spasms and incontinence. Dulaglutide (
A) treats diabetes, Montelukast (
B) manages asthma, and Glatiramer (
C) is for multiple sclerosis, none of which address neurogenic bladder.