ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is post-operative day 3 following coronary artery bypass graft (CABG). Which client statement indicates a need for further teaching?
Correct Answer: D
Rationale: Both statements A and B indicate a need for further teaching. A diet high in saturated fats increases cardiac risk, and avoiding physical activity hinders recovery. Clients should follow a heart-healthy diet and engage in gradual physical activity.
Question 2 of 5
The nurse is caring for a client diagnosed with amyotrophic lateral sclerosis (ALS). The client was given a medical prescription for tizanidine. What information would the nurse provide regarding this medication? Tizanidine is
Correct Answer: B
Rationale: Tizanidine is a muscle relaxant used to reduce spasticity in ALS, alleviating muscle stiffness and discomfort.
Question 3 of 5
To achieve the outcome of fall prevention at home in the client diagnosed with Parkinson's Disease (PD), which intervention would the nurse include in the plan of care?
Correct Answer: C
Rationale: Adequate lighting reduces fall risk in Parkinson's disease by improving visibility of obstacles, addressing balance and coordination issues.
Question 4 of 5
The nurse is providing education for a client diagnosed with myasthenia gravis (MG) taking pyridostigmine. The nurse understands teaching has been effective when the client states, 'I will
Correct Answer: D
Rationale: Taking pyridostigmine 30-60 minutes before meals optimizes muscle strength during eating, which is critical for clients with myasthenia gravis to manage swallowing difficulties.
Question 5 of 5
The nurse is to begin a nitroglycerin infusion for a client diagnosed with an anterior wall myocardial infarction. Which assessment finding should the nurse report to the provider immediately?
Correct Answer: D
Rationale: A blood pressure of 90/50 mmHg is significantly low and could indicate hypotension, a known side effect of nitroglycerin infusion. This can compromise perfusion to vital organs and may require adjustment or discontinuation of the infusion, making it the most urgent finding to report.