ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports continuing problems related to migraines. The nurse is assessing the psychosocial impact of migraines on the client. Which of the following questions should the nurse include in the assessment?(Select All that Apply.)
Correct Answer: A,D,E
Rationale: Depression, panic feelings, and fatigue are psychosocial impacts of chronic migraines, affecting mental health and energy levels.
Question 2 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 3 of 5
A nurse is caring for a client who was involved in a motor vehicle accident. The client is alert and oriented and reports a loss of consciousness immediately after the accident. Which of the following additional manifestations should the nurse assess the client for?
Correct Answer: A,B,D
Rationale: Pupillary dilation, persistent headache, and difficulty waking are signs of potential neurological issues post-head injury, such as increased intracranial pressure or concussion. Hand tremors and foot drop are less directly related to immediate post-accident neurological assessment.
Question 4 of 5
A nurse is caring for a client with asthma. Which of the following happens physiologically when bronchospasm occurs?
Correct Answer: C
Rationale: Bronchospasm in asthma involves inflammation, edema, and excess mucus, leading to airway narrowing and obstruction. Decreased mucus production, reduced inflammation, or thinning mucus do not contribute to bronchospasm.
Question 5 of 5
A nurse is caring for a client who has respiratory failure due to ventilation-perfusion (V/Q) mismatch. The nurse should recognize that the client most likely has which of the following conditions?
Correct Answer: B
Rationale: Emphysema causes V/Q mismatch due to alveolar destruction, leading to poor ventilation but adequate perfusion, resulting in hypoxemia. Flail chest impairs breathing mechanics, congestive heart failure causes diffusion defects, and Guillain-Barré syndrome affects respiratory muscles, not directly causing V/Q mismatch.