ATI LPN
ATI LPN Med Surg Exam 4 Questions
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 1 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 2 of 5
A nurse is reinforcing teaching to a client who has coronary artery disease. Which of the following statements should the nurse include in the teaching to explain the correlation between changes in the coronary arteries and manifestations that occur?
Correct Answer: D
Rationale: Decreased diameter of coronary arteries due to atherosclerosis leads to inadequate blood supply, causing symptoms like angina.
Question 3 of 5
A nurse is caring for a client who is scheduled for a Tensilon challenge test to check for myasthenia gravis. Which of the following findings should the nurse identify as a positive result?
Correct Answer: A
Rationale: A positive Tensilon test result is temporary improvement in muscle strength, confirming myasthenia gravis.
Question 4 of 5
A nurse is reinforcing teaching with a client about risk factors for heart disease. Which of the following risk factors is modifiable?
Correct Answer: B,C,D,E
Rationale: Sedentary lifestyle, smoking, diabetes, and hypertension are modifiable through lifestyle changes and medical management.
Question 5 of 5
While admitting a client for a cardiac catheterization, the nurse asks the client about allergies. Which of the following client food allergies should the nurse report to the provider prior to the procedure?
Correct Answer: D
Rationale: Shellfish allergies are important because clients with shellfish allergies may also react to iodine-based contrast dyes commonly used in cardiac catheterization procedures.