ATI LPN
ATI LPN Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is scheduled for a Tensilon challenge test to check for myasthenia gravis. Which of the following findings should the nurse identify as a positive result?
Correct Answer: A
Rationale: A positive result in a Tensilon test is indicated by temporary improvement in muscle strength, confirming myasthenia gravis.
Question 2 of 5
A nurse administered nitroglycerin sublingually to a client who has angina pectoris and experienced chest pain. The client states that his chest pain is relieved but now he has a headache. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Nitroglycerin commonly causes headaches due to vasodilation, which usually lessens over time as thekkal.
Question 3 of 5
A nurse is collecting data from a client who has a possible medical diagnosis of Guillain-Barré syndrome (GBS). Which of the following questions should the nurse ask the client?
Correct Answer: B
Rationale: GBS is often preceded by an acute viral or bacterial infection, particularly an upper respiratory or gastrointestinal infection, making this question relevant.
Question 4 of 5
A nurse is assisting with the admission of a client who has a subarachnoid hemorrhage and increased intracranial pressure (ICP). Which of the following medications should the nurse anticipate the provider prescribing to decrease ICP?
Correct Answer: D
Rationale: Mannitol is an osmotic diuretic that helps decrease ICP by drawing fluid from brain tissue into the bloodstream, thus relieving pressure within the skull.
Question 5 of 5
A nurse is caring for a client who is scheduled for a Tensilon challenge test to check for myasthenia gravis. Which of the following findings should the nurse identify as a positive result?
Correct Answer: A
Rationale: A positive result in a Tensilon test is indicated by temporary improvement in muscle strength, confirming myasthenia gravis.