ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client with myasthenia gravis who is exhibiting signs of cholinergic crisis. Which medication does the nurse ensure is available to treat this crisis?
Correct Answer: A
Rationale: Atropine sulfate reverses cholinergic crisis by blocking acetylcholine effects. Pyridostigmine treats myasthenia gravis but not the crisis. Protamine sulfate reverses heparin. Acetylcysteine treats acetaminophen overdose.
Question 2 of 5
A nurse is collecting data from a client who was bitten by a tick one week ago. Which of the following client manifestations should the nurse identify as an indication of the development of Lyme disease?
Correct Answer: B
Rationale: An expanding circular rash (erythema migrans) is a hallmark of early Lyme disease. Swollen joints occur in late stages. Decreased consciousness suggests other conditions like meningitis. Necrosis suggests a spider bite.
Question 3 of 5
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Decreased urinary stream is a common finding in BPH, as the enlarged prostate compresses the urethra and obstructs the flow of urine. Painful urination may indicate a urinary tract infection or bladder stones. Critically elevated PSA level may indicate prostate cancer or prostatitis. Urge incontinence may indicate an overactive bladder or neurogenic bladder.
Question 4 of 5
Which goal for the client's care should take priority when caring for a client admitted due to exacerbation of ulcerative colitis?
Correct Answer: A
Rationale: Managing diarrhea is the priority to prevent dehydration, electrolyte imbalance, malnutrition, and infection. Rest and comfort, self-esteem, and self-care are important but not the priority during an acute exacerbation.
Question 5 of 5
The nurse should teach a diabetic client that which symptom is indicative of hypoglycemia?
Correct Answer: D
Rationale: Nervousness is a symptom of hypoglycemia, as low blood glucose affects the brain, causing anxiety, irritability, confusion, and tremors. Anorexia may indicate nausea or depression. Warm skin may indicate fever or inflammation. Fruity breath indicates ketoacidosis, a complication of hyperglycemia.