ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Read scenario and answer question
Nursing - Intake Form
88 years old female, presenting with cough x3 days and subjective fever. Patient is alert and responsive. She is answering questions and does not is appear confused. She is taking her home medications as prescribed. She was sent by nursing home staff for evaluation.
Question 1 of 5
Upon discharge, of the listed immunizations, select the vaccines to be recommended for this older adult client. Select all that apply.
Correct Answer: A,B,C
Rationale: Pneumococcal, influenza, and COVID-19 vaccines are recommended for older adults to prevent severe infections; HIB and rotavirus are not indicated.
Extract:
Question 2 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 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
The nurse is preparing discharge teaching for a client with Bell's Palsy. Which of the following is most important to include in the teaching? [Select all that apply)
Correct Answer: B,C,E
Rationale:
B) Warm compresses reduce pain and inflammation.
C) Eye protection at night prevents corneal damage. E) Artificial tears prevent eye dryness due to impaired eyelid closure.
Question 5 of 5
The nurse is teaching a client with stable angina about their condition. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Stable angina is predictable, triggered by exertion or stress, and relieved by rest or nitroglycerin, indicating coronary artery disease.