ATI RN
ATI Med Surg Woolery Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a diagnosis of myasthenia gravis. When creating the nutritional plan of care for the client, which of the following foods would be appropriate to include?
Correct Answer: C
Rationale: Macaroni and cheese is soft and requires less chewing, suitable for myasthenia gravis patients with jaw muscle fatigue.
Extract:
Vital signs
0900:
Temperature 36.7° C (98° F)
Heart rate 119/min
Respiratory rate 26/min
Blood pressure 149/95 mm Hg
Oxygen saturation 92% on room air
Nurses' Notes
0900:
Client is a 45-year-old male brought to ED by family member due to new- onset chest pain and shortness of breath. Client describes pain as 10/10, substernal, and radiating to the left scapula.
Oriented to person, place, time, and situation.
Skin pale, cool, and diaphoretic, peripheral pulses weak.
$152 heard upon auscultation. Lungs clear bilaterally.
Client denies medical history and states no home medications.
Diagnostic results
0915:
12 Lead EKG:
ST-Elevation in leads V2-V6, rate 119 Point of Care Troponin:
1,40 ng/mL
Question 2 of 5
Select the 3 orders that the nurse should expect for this client.
Correct Answer: A,E,F
Rationale: Cardiac catheterization, supplemental oxygen, and nitroglycerin are standard for acute myocardial infarction management.
Extract:
Question 3 of 5
A nurse is admitting a client who is experiencing an Addisonian crisis. Which of the following should the nurse anticipate an order for?
Correct Answer: B
Rationale: 0.9% sodium chloride with 5% dextrose helps restore blood volume and correct electrolyte imbalances in Addisonian crisis.
Question 4 of 5
A nurse is caring for a client who is receiving warfarin for atrial fibrillation. The client's INR is 4.5. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: An INR of 4.5 is too high, indicating increased bleeding risk; vitamin K can help reverse warfarin's effects.
Question 5 of 5
A nurse is caring for a client who has a diagnosis of myasthenia gravis. When creating the nutritional plan of care for the client, which of the following foods would be appropriate to include?
Correct Answer: C
Rationale: Macaroni and cheese is soft and requires less chewing, suitable for myasthenia gravis patients with jaw muscle fatigue.