ATI RN
ATI Med Surg Woolery Final Exam Questions
Extract:
Nurses' Notes
0900:
Client resting comfortably in bed. The client states that she has been experiencing progressive weakness of the facial muscles, and difficulty swallowing, which prompted her to seek treatment. She states that her muscle strength is usually better in the morning, and her facial muscles become more fatigued as she uses them throughout the day. Bilateral ptosis of eyelids noted. Client has difficulty talking during the assessment, and states that her jaw muscles became fatigued when she tried to eat breakfast this morning. Bilateral hand grip and upper extremity strength within normal limits, bilateral lower extremity strength and range of motion within normal limits. Client is scheduled for an edrophonium (Tensilon) test today.
Question 1 of 5
Based on the information provided, the client is likely experiencing..... which is caused by.......
Correct Answer: A,B
Rationale: Myasthenia Gravis symptoms include facial muscle weakness and fatigue, caused by autoantibodies targeting acetylcholine receptors.
Extract:
Question 2 of 5
A client who is receiving chemotherapy for breast cancer is experiencing myelosuppression as a side effect of the treatment. Which of the following is a manifestation directly related to myelosuppression?
Correct Answer: C
Rationale: Fever and chills result from reduced white blood cells due to myelosuppression.
Question 3 of 5
A nurse is caring for a client who has undergone a bilateral adrenalectomy. The nurse monitors for which of the following signs of Addisonian crisis?
Correct Answer: D
Rationale: Hypoglycemia is a key sign of Addisonian crisis due to the loss of cortisol production.
Question 4 of 5
A client has been diagnosed with age-related macular degeneration (AMD). Which change in vision would the nurse expect a client with AMD to report?
Correct Answer: A
Rationale: AMD affects the macula, responsible for central vision and fine detail, leading to loss of central vision and distortion of straight lines.
Question 5 of 5
A client is admitted to the hospital with a diagnosis of Amyotrophic Lateral Sclerosis (ALS). Which finding is consistent with known risk factors for this disease?
Correct Answer: D
Rationale: Military veterans have a higher incidence of ALS, possibly due to environmental exposures.