ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients on a hospital unit with the assistance of a licensed practical nurse [LPN]. Which aspect of client care would be the most appropriate for the nurse to delegate to the LPN?
Correct Answer: A
Rationale: Administering oral antibiotics is an appropriate task to delegate to a licensed practical nurse (LPN). LPNs are trained to administer medications, including oral antibiotics, and to monitor for common side effects or adverse reactions. Since the task is routine and does not require advanced clinical judgment, it can be delegated to the LPN under the nurse's supervision.
Question 2 of 5
The nurse notes old and new ecchymotic areas on an older adult client's arms and buttocks upon admission. The client tells the nurse in confidence that her family members frequently hit her. Which statement should the nurse use in response?
Correct Answer: A
Rationale: Mandatory reporting laws require nurses to report suspected abuse to protect vulnerable clients, prioritizing safety over confidentiality.
Question 3 of 5
A nurse suspects a client who has myasthenia gravis is experiencing a myasthenic crisis. Which of the following interventions should the nurse prepare to take first?
Correct Answer: A
Rationale: A myasthenic crisis involves severe respiratory muscle weakness, necessitating preparation for mechanical ventilation to ensure airway support.
Question 4 of 5
A nurse working in the Neuro ICU is caring for a client who has been recently diagnosed with Guillain Barre Syndrome. Which of the following clinical manifestations should the nurse assess for?
Correct Answer: B
Rationale: Bilateral ascending weakness, starting in the lower extremities, is a hallmark of GBS due to autoimmune attack on peripheral nerve myelin.
Extract:
Read scenario and answer question
Nursing - Intake Form
88 years old female, presenting with cough x3 days and subjective fever. Patient is alert and responsive. She is answering questions and does not is appear confused. She is taking her home medications as prescribed. She was sent by nursing home staff for evaluation.
Question 5 of 5
Upon discharge, of the listed immunizations, select the vaccines to be recommended for this older adult client. Select all that apply.
Correct Answer: A,B,C
Rationale: Pneumococcal, influenza, and COVID-19 vaccines are recommended for older adults to prevent severe infections; HIB and rotavirus are not indicated.