ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who was recently diagnosed with ALS (Amyotrophic lateral sclerosis). Which of the following signs and symptoms is MOST important for the nurse to assess for?
Correct Answer: D
Rationale: As ALS progresses, respiratory muscles weaken, leading to respiratory failure, a life-threatening condition requiring interventions like mechanical ventilation. This makes assessing for difficulty breathing the most critical.
Question 2 of 5
The nurse is preparing discharge teaching for a client who is recently diagnosed with Multiple sclerosis. Which of the following is the most important to include in the patient teaching?
Correct Answer: B
Rationale: Using assistive devices like canes or walkers enhances mobility and safety, critical for MS patients with weakness and coordination issues.
Question 3 of 5
A nurse is monitoring a client with COPD that suddenly becomes restless and anxious. Which of the following steps should the nurse take next?
Correct Answer: D
Rationale: Pursed-lip breathing helps increase oxygenation and decrease the work of breathing in COPD patients, addressing restlessness and anxiety caused by hypoxia or hypercapnia.
Question 4 of 5
A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Chemotherapy commonly causes nausea and vomiting, and preemptive administration of antiemetic medications can help prevent these symptoms. The nurse should follow the healthcare provider's orders and administer antiemetics as prescribed, which can significantly improve the client's comfort and adherence to the treatment plan.
Question 5 of 5
A nurse is reviewing the EKG strip of a client who is hypertensive and is complaining of muscle weakness. Which of the following abnormalities on the clients EKG should the nurse interpret as a sign of hyperkalemia?
Correct Answer: A
Rationale: Peaked T waves are a classic sign of hyperkalemia on an EKG. As potassium levels rise, the T waves become taller, more pointed, and narrow, indicating changes in the heart's electrical conduction. This is one of the earliest and most characteristic EKG changes seen with hyperkalemia.