ATI LPN
ATI LPN Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a client who was admitted to the telemetry unit after he experienced chest pain, dyspnea, and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?
Correct Answer: C
Rationale: ST-segment elevation above the isoelectric line is a key indicator of an acute myocardial infarction (STEMI), signifying myocardial injury.
Question 2 of 5
A nurse is reinforcing teaching with a client who has peripheral arterial disease and reports pain when walking. The nurse should identify that the client can use which of the following herbal supplements to increase pain-free walking distance?
Correct Answer: D
Rationale: Ginkgo biloba improves blood circulation and may increase pain-free walking distance in peripheral arterial disease.
Extract:
Nurses Notes
Day 1:
Oriented to person, place, and time. Speech is slow. Unilateral resting tremors noted in right arm. Gait is slow and rigid.
6 months later:
Oriented to person and place, disoriented to date and time. Speech is slow and slurred. Bilateral resting tremors noted in extremities and generalized muscle stiffness. Facial rigidity and drooling noted. Gait is slow and client shuffles their feet when ambulating.
Question 3 of 5
A nurse is caring for a client. For each client finding, click to specify if the finding is consistent with Parkinson's disease, stroke, and/or multiple sclerosis. Each finding can support more than one disease process.
| Options | Parkinson's disease | Stroke | Multiple sclerosis |
|---|---|---|---|
| Ambulation pattern: Parkinson's disease | |||
| Muscle movements: Parkinson's disease | |||
| Speech: Parkinson's disease, Stroke, Multiple sclerosis | |||
| Orientation status: Parkinson's disease, Stroke, Multiple sclerosis | |||
| Facial rigidity: Parkinson's disease |
Correct Answer: A,B,C,D,E
Rationale: 1. Ambulation Pattern: The slow and shuffling gait is characteristic of Parkinson's disease due to muscle rigidity and bradykinesia. 2. Muscle Movements: Unilateral resting tremors and generalized muscle stiffness are hallmark signs of Parkinson's disease. 3. Speech: Slow and slurred speech is common in Parkinson's disease, stroke (due to dysarthria), and multiple sclerosis (due to neurological involvement). 4. Orientation Status: Disorientation can occur in later stages of Parkinson's disease, stroke, and multiple sclerosis due to cognitive decline. 5. Facial Rigidity: Facial rigidity, or 'masked face,' is a classic symptom of Parkinson's disease.
Extract:
Question 4 of 5
A nurse is assisting with the care of a client who was admitted to the telemetry unit after he experienced chest pain, dyspnea, and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?
Correct Answer: C
Rationale: ST-segment elevation above the isoelectric line is a key indicator of an acute myocardial infarction (STEMI), signifying myocardial injury.
Question 5 of 5
A nurse is contributing to the plan of care for a client who has a seizure disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: C,D,E
Rationale: Keeping an oxygen setup, elevating side rails, and providing a suction setup are essential to ensure safety and manage potential complications during a seizure.