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 experiencing progressive multifocal leukoencephalopathy (PML). Which of the following medications should the nurse recognize is associated with the development of PML?
Correct Answer: B
Rationale: Natalizumab is a monoclonal antibody used for MS that increases PML risk, especially in JC virus antibody-positive patients. Pregabalin, furosemide, and metoprolol are not associated with PML.
Question 2 of 5
A nurse is reviewing discharge medications with a client who has Parkinson's disease. The nurse should include teaching about the client's anticholinergic agent. Which of the following side effects should the nurse advise the client to report?
Correct Answer: B
Rationale: Anhidrosis, the inability to sweat normally, is a side effect of anticholinergic medications due to acetylcholine inhibition on sweat glands, posing a risk of hyperthermia. Drooling, tremors, and rigidity are Parkinson's symptoms, not typically caused by anticholinergics.
Question 3 of 5
Which of the following is an example of a complication that causes noncardiogenic pulmonary edema?
Correct Answer: C
Rationale: Kidney injury can disrupt fluid balance, leading to fluid retention in the lungs and noncardiogenic pulmonary edema. Diastolic dysfunction and myocardial ischemia cause cardiogenic pulmonary edema, while increased fluid in pulmonary interstitial spaces describes the mechanism, not a complication.
Question 4 of 5
Which of the following information should the nurse include when educating a client who has pulmonary edema as a result of a pre-existing cardiac condition? (Select All that Apply.)
Correct Answer: A,B,C,D,E
Rationale: All choices are correct. Weight control (
A) reduces cardiovascular strain, a healthy lifestyle (
B) supports heart health, smoking cessation (
C) prevents worsening of heart failure, heart disease prevention (
D) reduces complications, and glycemic control (E) manages diabetes-related cardiac risks.
Question 5 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.