ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is assisting with the plan of 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 is an anticholinergic medication used to treat overactive bladder and spasm-induced incontinence by relaxing bladder smooth muscles, reducing involuntary contractions.
Question 2 of 5
A nurse is providing discharge instructions to a client who has epilepsy. Which of the following instructions should be included in the nurse's teaching? (Select All that Apply.)
Correct Answer: A,C,D
Rationale: Taking small bites, eating slightly forward, and chewing thoroughly reduce choking and aspiration risks during seizures. Thickened liquids are not necessary unless dysphagia is present, conversations are not directly related, and fiber is beneficial for overall health.
Question 3 of 5
A nurse is caring for a client who has spinal stenosis. Which of the following conditions should the nurse recognize as a risk factor for spinal stenosis?
Correct Answer: B
Rationale: Laminectomy, while a treatment for spinal stenosis, is incorrectly listed as a risk factor in the document. However, degenerative spinal changes, often linked to aging or prior spinal surgeries, are true risk factors. COPD, hysterectomy, and hyperthyroidism are not directly associated with spinal stenosis.
Question 4 of 5
A nurse is caring for a client who is being evaluated for multiple sclerosis. Which of the following tests should the nurse anticipate the provider will order to assist with diagnosis?
Correct Answer: D
Rationale: Lumbar puncture collects cerebrospinal fluid to detect abnormalities like elevated IgG or oligoclonal bands, indicative of CNS inflammation in multiple sclerosis. Myelogram, BNP, and troponin tests are unrelated to MS diagnosis.
Question 5 of 5
Which of the following is an example of a complication that causes noncardiogenic pulmonary edema?
Correct Answer: C
Rationale: Kidney injury can disrupt fluid balance, leading to fluid retention in the lungs and noncardiogenic pulmonary edema. Diastolic dysfunction and myocardial ischemia cause cardiogenic pulmonary edema, while increased fluid in pulmonary interstitial spaces describes the mechanism, not a complication.