ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
The nurse is caring for the client experiencing Guillain-Barre syndrome (GBS). It is most important for the nurse to monitor the client for which complication?
Correct Answer: C
Rationale: Respiratory failure is the most life-threatening complication in GBS due to paralysis affecting breathing muscles.
Question 2 of 5
The nurse is providing care to a client admitted with a diagnosis of bacterial pneumonia. On assessment, the client has dry mucous membranes and coarse rhonchi. What nursing interventions would the nurse include in the plan of care?
Correct Answer: B
Rationale: Increasing fluid intake thins mucus, antibiotics treat the infection, and coughing clears secretions, addressing pneumonia symptoms.
Question 3 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 4 of 5
A patient is prescribed 500 ml of Normal Saline to be infused over 90 minutes. The drop factor on the tubing is 10 gtt/mL. At what rate should the nurse regulate the IV (gtt/min)? (Round to the nearest whole number)
Correct Answer: A
Rationale: The infusion rate is calculated as 500 mL / 90 min = 5.5556 mL/min. With a drop factor of 10 gtt/mL, the drip rate is 5.5556 mL/min x 10 gtt/mL = 55.556 gtt/min, rounded to 56 gtt/min.
Question 5 of 5
The nurse is admitting a client who is on a ventilator. The client has a medical diagnosis of acute respiratory distress syndrome (ARDS). Which infection control guideline is of greatest importance?
Correct Answer: A
Rationale: Hand hygiene is the most critical infection control measure to prevent ventilator-associated infections in ARDS patients.