ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is providing discharge instruction to a client who has hypertension that has resulted in a transient ischemic attack (TIA). Which of the following information should the nurse discuss with the client regarding blood pressure (BP) management?
Correct Answer: A
Rationale: Maintaining systolic blood pressure between 120 and 129 mm Hg aligns with guidelines for tight blood pressure control post-TIA to reduce the risk of recurrent cerebrovascular events.
Question 2 of 5
A nurse is teaching a client who has multiple sclerosis about factors that can worsen their manifestations. Which of the following factors should the nurse include in the teaching?
Correct Answer: B
Rationale: Sunbathing can exacerbate MS symptoms due to Uhthoff's phenomenon, where increased body temperature impairs nerve conduction, worsening symptoms like fatigue and weakness. Flying, office work, and high altitude travel are less directly associated with symptom exacerbation, though related factors like stress or hypoxia may have indirect effects.
Question 3 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.
Question 4 of 5
A nurse is caring for a client with asthma. Which of the following happens physiologically when bronchospasm occurs?
Correct Answer: C
Rationale: Bronchospasm in asthma involves inflammation, edema, and excess mucus, leading to airway narrowing and obstruction. Decreased mucus production, reduced inflammation, or thinning mucus do not contribute to bronchospasm.
Question 5 of 5
A nurse is caring for a client who was involved in a motor vehicle accident. The client is alert and oriented and reports a loss of consciousness immediately after the accident. Which of the following additional manifestations should the nurse assess the client for?(Select All that Apply.)
Correct Answer: A,B,D
Rationale: Pupillary dilation, persistent headache, and difficulty waking are signs of potential neurological issues following head trauma, such as increased intracranial pressure or concussion.