ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has spinal stenosis about exercise. Which of the following statements by the client indicates they understand the teaching?
Correct Answer: B
Rationale: Cycling is a low-impact exercise suitable for spinal stenosis, improving fitness without stressing the spine. Aerobics, jogging, and circuit training may involve high-impact or intense movements that could worsen symptoms.
Question 2 of 5
A nurse is caring for a client who has degenerative disc disease. Which of the following assessment findings should the nurse understand might develop with this condition? (Select All that Apply.)
Correct Answer: B,C,D
Rationale: Paresthesia, foot drop, and intermittent pain are associated with degenerative disc disease due to nerve compression or irritation. Hyponatremia is unrelated to DDD, and hyperreflexia is not typically a hallmark of this condition, though it may occur in other neurological disorders.
Question 3 of 5
Which of the following are adverse effects of methylprednisolone? (Select All that Apply.)
Correct Answer: C,D,E
Rationale: Delayed wound healing is correct because corticosteroids suppress inflammation and collagen synthesis, impairing wound healing. Hirsutism is correct as long-term corticosteroid use can cause excessive hair growth due to effects on hair follicles. Hyperglycemia is correct because corticosteroids promote gluconeogenesis and insulin resistance, increasing blood glucose levels.
Question 4 of 5
A nurse is caring for a client who reports continuing problems related to migraines. The nurse is assessing the psychosocial impact of migraines on the client. Which of the following questions should the nurse include in the assessment? (Select All that Apply.)
Correct Answer: A,D,E
Rationale:
Choice A: Depression is a common comorbidity with migraines, making this question relevant.
Choice B: Sensitivity to light is a physical symptom, not psychosocial.
Choice C: Migraines typically decrease sexual drive, not increase it.
Choice D: Panic-type feelings can be triggered by migraines, assessing anxiety.
Choice E: Fatigue is a common psychosocial impact of migraines.
Question 5 of 5
Which of the following common characteristics of nonallergic asthma can the nurse expect to find when assessing an adult client? (Select All that Apply.)
Correct Answer: A,C,D,E,F
Rationale: Nonallergic asthma is characterized by exercise-induced flare-ups, no allergen hypersensitivity, NSAID-triggered symptoms, persistent manifestations, and corticosteroid responsiveness. Nasal inflammation is more typical of allergic asthma, as nonallergic asthma primarily affects lower airways.