ATI RN
ATI Nur201 FA2 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A nurse is monitoring a client post-hypophysectomy. Which assessment finding is most important to report to the health care provider?
Correct Answer: C
Rationale: Persistent nasal drainage following hypophysectomy could indicate a cerebrospinal fluid (CSF) leak, which is a serious complication requiring immediate medical attention.
Question 2 of 5
A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directive. Which statement by the client indicates a need for clarification?
Correct Answer: C
Rationale: The statement that a family member must be chosen as the health care proxy is incorrect; any trusted individual can be selected.
Question 3 of 5
The nurse is caring for a client who was prescribed digoxin. Which manifestations correlate with a digoxin level of 3.0 (Range: 0.8-2.0)? (Select all that apply)
Correct Answer: A,B
Rationale: Nausea and vomiting are common symptoms of digoxin toxicity due to gastrointestinal irritation caused by elevated digoxin levels. Photophobia and hyperglycemia are not typically associated with digoxin toxicity.
Question 4 of 5
A client is admitted to the hospital with a myasthenic crisis. The nurse should anticipate which potential precipitating factors for this event?
Correct Answer: C
Rationale: Taking too little of the prescribed medication is the primary precipitating factor for a myasthenic crisis. Inadequate levels of medication lead to insufficient acetylcholine at neuromuscular junctions, causing severe muscle weakness and potentially life-threatening respiratory failure.
Question 5 of 5
A client with multiple myeloma receiving chemotherapy has a temperature of 102.2 degrees Fahrenheit. The temperature was 99.2 degrees Fahrenheit six hours ago. The PRIORITY nursing intervention is to:
Correct Answer: A
Rationale: Administering an antipyretic to reduce the fever and notifying the primary health care provider are the priority actions. A rapid rise in temperature could indicate a serious infection.