ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, 'I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up.' Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
Correct Answer: D
Rationale: Adequate hydration thins mucus, facilitating clearance of tenacious bronchial secretions in COPD patients.
Question 2 of 5
A nurse is caring for a client who taking benztropine to treat Parkinson's disease. The nurse should instruct the client to monitor and report which of the following side effects of benztropine?
Correct Answer: C
Rationale: Benztropine's anticholinergic effects can cause urinary retention by inhibiting bladder muscle contraction.
Question 3 of 5
A client with COPD exacerbation has been ordered oral prednisone to be tapered over two weeks. Which of the following side effects does the nurse recognize could occur during prednisone therapy? [Select all that apply.]
Correct Answer: A,C,D
Rationale:
A) Prednisone can increase blood glucose levels, causing hyperglycemia.
C) Fluid retention is common due to sodium reabsorption.
D) Gastrointestinal distress, like gastritis, is a frequent side effect.
Question 4 of 5
The nurse is providing discharge teaching for a client with asthma that has been prescribed inhaled beclomethasone. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Rinsing the mouth after beclomethasone use prevents oral thrush, a common side effect of inhaled corticosteroids.
Question 5 of 5
A client with a diagnosis of multiple sclerosis is scheduled to receive plasmapheresis treatments. A nurse explains to the client's spouse that the purpose of plasmapheresis is to:
Correct Answer: D
Rationale: Plasmapheresis works by removing circulating antibodies from the bloodstream. In multiple sclerosis, the immune system mistakenly targets the myelin sheath, and plasmapheresis helps to remove the antibodies responsible for this autoimmune response. This can provide temporary relief of symptoms during acute flare-ups of MS by reducing the immune system's attack on the nervous system.