ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has multiple sclerosis and is being evaluated for progressive multifocal leukoencephalopathy (PML). Which of the following findings should the nurse recognize as manifestations of this condition? (Select All that Apply.)
Correct Answer: A,B,D,E
Rationale: Memory loss (
A), clumsiness (
B), seizures (
D), and vision difficulty (E) are PML symptoms due to JC virus-related brain damage. Tardive dyskinesia (
C) is a movement disorder unrelated to PML.
Question 2 of 5
A nurse is caring for a client who has a spinal cord injury at the first thoracic level. Which of the following should the nurse recognize can trigger autonomic dysreflexia? (Select All that Apply.)
Correct Answer: A,B,D,E
Rationale: Sexual intercourse, tight clothing, surgery below the injury, and urinary tract infections can stimulate areas below the spinal cord injury, triggering autonomic dysreflexia. Nausea is a symptom, not a trigger, of this condition.
Question 3 of 5
A nurse is caring for a client with manifestations of status asthmaticus. Which of the following factors play a role in creating circulatory surge of inflammatory cells and cytokines in this condition? (Select all that apply.)
Correct Answer: A,D,E
Rationale: Epithelial cells initiate inflammation by releasing cytokines. Mast cells release mediators like histamine, contributing to inflammation and bronchoconstriction. Inflammation involves inflammatory cell recruitment and cytokine release. OT lymphocytes are not a recognized cell type, and hyperreactivity, while a feature of asthma, does not directly cause a circulatory surge.
Question 4 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 5 of 5
A nurse is caring for a client with a colostomy. Which action is appropriate?
Correct Answer: A
Rationale: Emptying the pouch when full prevents leakage and maintains skin integrity.