ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has spinal stenosis. Which of the following conditions should the nurse recognize as a risk factor for spinal stenosis?
Correct Answer: B
Rationale: Laminectomy, while a treatment for spinal stenosis, is incorrectly listed as a risk factor in the document. However, degenerative spinal changes, often linked to aging or prior spinal surgeries, are true risk factors. COPD, hysterectomy, and hyperthyroidism are not directly associated with spinal stenosis.
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
A nurse is caring for a client with pneumonia. Which intervention should the nurse prioritize?
Correct Answer: A
Rationale: Antibiotics are the primary treatment for bacterial pneumonia, targeting the underlying infection.
Question 4 of 5
A nurse in the emergency department is assessing a client who was brought in by a neighbor after falling down suddenly while walking. Which of the following assessments are the priority for the nurse to complete?(Select All that Apply.)
Correct Answer: A,B,D
Rationale: Muscle strength, facial symmetry, and vision changes are critical to assess for neurological deficits like stroke post-fall.
Question 5 of 5
A nurse is teaching a client who has multiple sclerosis about factors that can worsen their manifestations. Which of the following factors should the nurse include in the teaching?
Correct Answer: B
Rationale: Sunbathing can exacerbate MS symptoms due to Uhthoff's phenomenon, where increased body temperature impairs nerve conduction, worsening symptoms like fatigue and weakness. Flying, office work, and high altitude travel are less directly associated with symptom exacerbation, though related factors like stress or hypoxia may have indirect effects.