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ATI Nurs 201 Med Surg 2 Exam Questions

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Question 1 of 5

A nurse is caring for a client that has been recently diagnosed with Guillian-Barre syndrome. What would the nurse consider to be common risk factors associated with Guillain-Barré syndrome (GB5)? (select all that apply)

Correct Answer: A,C,E

Rationale:
A) Vaccinations, particularly those for influenza and other viral infections, have been linked to an increased risk of GBS in some cases.
C) It is believed that the stress from surgery, particularly in the presence of an infection or immune response, may trigger the development of GBS. E) Viral infections such as Zika virus, Epstein-Barr virus, cytomegalovirus (CMV), influenza, and others can trigger an autoimmune response that leads to the development of GBS.

Question 2 of 5

An older adult client with a history of heart failure is admitted to the hospital due to confusion, vision disturbance and anorexia for several days. The client has a pulse rate of 53 bpm, b/p of 116/68, respirations 16 and saturation of 97%. Which of the following medications does the nurse suspect could be causing the client's symptoms?

Correct Answer: A

Rationale: Confusion, vision disturbances, and anorexia are classic signs of digoxin toxicity, especially with bradycardia and a narrow therapeutic index.

Question 3 of 5

A client in the emergency room begins to experience an acute asthma attack. The nurse expects that which medication will be used as initial treatment?

Correct Answer: C

Rationale: Albuterol, a short-acting beta-2 agonist, provides rapid bronchodilation, making it the first-line treatment for acute asthma attacks.

Question 4 of 5

A client with Parkinson's disease is prescribed carbidopa-levadopa [Sinemet]. Which of the following side effects does the nurse recognize can occur with this medication?

Correct Answer: D

Rationale: Orthostatic hypotension is a well-recognized and common side effect of carbidopa-levodopa. This occurs because Sinemet affects the autonomic nervous system, which can cause a decrease in blood pressure when moving from a sitting or lying position to standing. Patients on carbidopa-levodopa should be advised to rise slowly to minimize the risk of dizziness or fainting due to orthostatic hypotension.

Question 5 of 5

A nurse assesses a client who presents to the provider's office to evaluate multiple nevi. Which finding should the nurse identify to the provider as possible sign of malignancy?

Correct Answer: D

Rationale: A mole larger than 6mm is a potential sign of malignancy per the ABCDE rule for melanoma detection.

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The patient asks the nurse what the P Wave indicates on an EKG strip. The nurse informs the patient that the P Wave represents:
The nurse is notified by the telemetry monitor tech that the client has been persistently in the following rhythm [see image). The client has a exhibiting the following cardiac rhythm? pulse of 130 bpm, B/P of 86/44 mm Hg, respirations of 24 with a saturation of 90%. Which of the following is a priority intervention for a client exhibiting the following cardiac rhythm?

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