ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The client diagnosed with paraplegia is being admitted to a medical unit from home with a stage IV pressure injury over the right ischium. Which assessment tool should be completed on admission to the hospital?
Correct Answer: B
Rationale: The Braden Scale assesses pressure ulcer risk factors, guiding care for a stage IV injury. Glasgow Coma Scale is for consciousness, Brudzinski for meningitis, and Babinski for neurological function.
Question 2 of 5
A newly diagnosed epilepsy patient is prescribed diazepam. The nurse understands that this medication causes which of the following adverse effects?
Correct Answer: C
Rationale: Diazepam causes CNS depression via GABA enhancement, leading to sedation. It doesn't typically cause tachycardia, increased reflexes, or nervousness.
Question 3 of 5
A nurse in the operating room is caring for a client who suddenly develops muscle rigidity and a rise in body temperature. What emergency medication should the nurse expect to receive an order to start administering?
Correct Answer: A
Rationale: Dantrolene treats malignant hyperthermia, indicated by rigidity and hyperthermia. Neostigmine, vecuronium, and naloxone address other conditions.
Question 4 of 5
A nurse is teaching a class about oxygen transport in the circulatory system. Which of the following transports oxygen in the blood?
Correct Answer: C
Rationale: Hemoglobin in red blood cells transports oxygen. Platelets aid clotting, neutrophils fight infection, and lymphocytes support immunity.
Question 5 of 5
A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Moving objects away prevents injury during a seizure. Restraining risks harm, lying on back increases aspiration risk, and tongue blades can cause injury.