ATI LPN
ATI LPN Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse is collecting data on a client who has coronary artery disease. Which of the following manifestations should the nurse anticipate?
Correct Answer: B,C,D
Rationale: Chest pain, palpitations, and shortness of breath are common manifestations of coronary artery disease due to reduced blood flow and cardiac strain.
Extract:
Nurses Notes
Day 1:
Oriented to person, place, and time. Speech is slow. Unilateral resting tremors noted in right arm. Gait is slow and rigid.
6 months later:
Oriented to person and place, disoriented to date and time. Speech is slow and slurred. Bilateral resting tremors noted in extremities and generalized muscle stiffness. Facial rigidity and drooling noted. Gait is slow and client shuffles their feet when ambulating.
Question 2 of 5
A nurse is caring for a client. For each client finding, click to specify if the finding is consistent with Parkinson's disease, stroke, and/or multiple sclerosis. Each finding can support more than one disease process.
| Options | Parkinson's disease | Stroke | Multiple sclerosis |
|---|---|---|---|
| Ambulation pattern: Parkinson's disease | |||
| Muscle movements: Parkinson's disease | |||
| Speech: Parkinson's disease, Stroke, Multiple sclerosis | |||
| Orientation status: Parkinson's disease, Stroke, Multiple sclerosis | |||
| Facial rigidity: Parkinson's disease |
Correct Answer: A,B,C,D,E
Rationale: 1. Ambulation Pattern: The slow and shuffling gait is characteristic of Parkinson's disease due to muscle rigidity and bradykinesia. 2. Muscle Movements: Unilateral resting tremors and generalized muscle stiffness are hallmark signs of Parkinson's disease. 3. Speech: Slow and slurred speech is common in Parkinson's disease, stroke (due to dysarthria), and multiple sclerosis (due to neurological involvement). 4. Orientation Status: Disorientation can occur in later stages of Parkinson's disease, stroke, and multiple sclerosis due to cognitive decline. 5. Facial Rigidity: Facial rigidity, or 'masked face,' is a classic symptom of Parkinson's disease.
Extract:
Question 3 of 5
A nurse is reinforcing teaching with a middle-age client about hypertension. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Checking potassium levels is important when taking thiazide diuretics due to the risk of hypokalemia.
Question 4 of 5
A nurse is collecting data from a client who has Bell's palsy. Which of the following findings should the nurse expect?
Correct Answer: A,B,D
Rationale: Pain behind the ear, muscle distortion due to facial paralysis, and impaired taste are common symptoms of Bell's palsy due to facial nerve involvement.
Question 5 of 5
A nurse is assisting with teaching a group of nursing students about the pathophysiology of the spinal cord. Which of the following statements by a nursing student indicates understanding?
Correct Answer: B
Rationale: This statement accurately reflects the function of the descending tracts, which carry motor signals from the CNS to the muscles.