ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client that has been recently diagnosed with Guillian-Barre syndrome. What would the nurse consider to be common risk factors associated with Guillain-Barré syndrome (GB5)? (select all that apply)
Correct Answer: A,C,E
Rationale:
A) Vaccinations, particularly those for influenza and other viral infections, have been linked to an increased risk of GBS in some cases.
C) It is believed that the stress from surgery, particularly in the presence of an infection or immune response, may trigger the development of GBS. E) Viral infections such as Zika virus, Epstein-Barr virus, cytomegalovirus (CMV), influenza, and others can trigger an autoimmune response that leads to the development of GBS.
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 3 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.
Extract:
Question 4 of 5
A client with COPD exacerbation has been ordered oral prednisone to be tapered over two weeks. Which of the following side effects does the nurse recognize could occur during prednisone therapy? [Select all that apply.]
Correct Answer: A,C,D
Rationale:
A) Prednisone can increase blood glucose levels, causing hyperglycemia.
C) Fluid retention is common due to sodium reabsorption.
D) Gastrointestinal distress, like gastritis, is a frequent side effect.
Question 5 of 5
A nurse working in the cardiac icu is caring for client with suspected left sided heart failure. For which clinical manifestation should the nurse assess for?
Correct Answer: A
Rationale: Left-sided heart failure causes pulmonary congestion, leading to crackles in the lungs due to fluid accumulation.