ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client with manifestations of status asthmaticus. Which of the following factors play a role in creating circulatory surge of inflammatory cells and cytokines in this condition? (Select all that apply.)
Correct Answer: A,D,E
Rationale: Epithelial cells initiate inflammation by releasing cytokines. Mast cells release mediators like histamine, contributing to inflammation and bronchoconstriction. Inflammation involves inflammatory cell recruitment and cytokine release. OT lymphocytes are not a recognized cell type, and hyperreactivity, while a feature of asthma, does not directly cause a circulatory surge.
Question 2 of 5
A nurse is preparing to administer insulin. Which type is rapid-acting?
Correct Answer: B
Rationale: Insulin aspart is a rapid-acting insulin, used to manage postprandial glucose spikes.
Question 3 of 5
A nurse is caring for a client with asthma. Which of the following statements are true regarding physiological changes of the respiratory system in the aging adult client?
Correct Answer: D
Rationale: Age-related respiratory changes, like reduced elasticity, can mimic airway obstruction symptoms.
Question 4 of 5
A nurse is planning care for a client who has multiple sclerosis and is receiving methylprednisolone. Which of the following adverse effects should the nurse anticipate? (Select all that apply.)
Correct Answer: C
Rationale: Methylprednisolone, a corticosteroid, can cause delayed wound healing due to its immunosuppressive and anti-inflammatory effects, which impair tissue repair processes.
Question 5 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.