ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
During a Tensilon test to determine if a patient has myasthenia gravis, the patient complains of cramping and becomes diaphoretic with increased oral secretions after receiving edrophonium IV. Vital signs are HR 55, BP 130/78, respiration 12 and saturation of 94%. What intervention should the nurse prepare to do?
Correct Answer: B
Rationale: Symptoms like cramping and increased secretions indicate cholinergic toxicity, requiring atropine to block excess acetylcholine effects.
Question 2 of 5
The nurse is caring for a client with uterine cancer who is being treated with brachytherapy. The UAP reports that the client ambulated to the restroom and is now reporting, 'something feels like it's coming out.' What is the nurse's priority action?
Correct Answer: A
Rationale: The priority action when a patient is receiving brachytherapy for uterine cancer is to assess for potential dislodgement of the radioactive implant. If the radiation source has been displaced, it must be handled carefully to prevent radiation exposure to the nurse, other patients, and staff. The nurse should use forceps to carefully retrieve the dislodged pellets and place them in a lead container to prevent contamination.
Question 3 of 5
A nurse is reviewing the EKG strip of a client who is hypertensive and is complaining of muscle weakness. Which of the following abnormalities on the clients EKG should the nurse interpret as a sign of hyperkalemia?
Correct Answer: A
Rationale: Peaked T waves are a classic sign of hyperkalemia on an EKG. As potassium levels rise, the T waves become taller, more pointed, and narrow, indicating changes in the heart's electrical conduction. This is one of the earliest and most characteristic EKG changes seen with hyperkalemia.
Question 4 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.
Question 5 of 5
The nurse is providing discharge teaching for a client with asthma that has been prescribed inhaled beclomethasone. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Rinsing the mouth after beclomethasone use prevents oral thrush, a common side effect of inhaled corticosteroids.