ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 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 2 of 5
The nurse caring for a critically ill client would suspect the development of acute respiratory distress syndrome (ARDS) in which of the following situations? The client with:
Correct Answer: D
Rationale: Hypoxemia refractory to oxygen therapy is a hallmark of ARDS, indicating severe lung injury and impaired gas exchange.
Question 3 of 5
A client with an acute stroke must receive Alteplase 0.9 mg/kg (maximum dose 90 mg) over 60 minutes. The client weighs 220 pounds. How many mg should the client receive? (Round to the nearest tenth, do not use trailing zeros)
Correct Answer: A
Rationale: Weight is 99.7664 kg (220 lbs x 0.453592). Dose is 0.9 mg/kg x 99.7664 kg = 89.8 mg, which is below the maximum of 90 mg.
Question 4 of 5
The nurse is caring for a client with respiratory failure. The client is lethargic and slow to follow commands. Current vital signs are: BP 88/52, pulse 132, respirations 8, and SPO2 84% on 35% Venturi mask. The nurse would anticipate which medical prescription?
Correct Answer: A
Rationale: Severe respiratory distress and low SpO2 despite oxygen therapy indicate the need for intubation and mechanical ventilation.
Question 5 of 5
The nurse would check for leaks in the chest tube and water seal system when:
Correct Answer: A
Rationale: Continuous bubbling in the water-seal chamber suggests a potential air leak in the system, which needs to be investigated. The water-seal chamber is designed to prevent backflow of air into the pleural space, and persistent bubbling typically indicates that air is escaping from the pleural cavity or there is a problem with the tubing or chest tube placement.