ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
What is the first action the nurse should take with the accidental dislodgement of a chest tube?
Correct Answer: C
Rationale: Applying a sterile dressing taped on three sides prevents air entry into the pleural space, reducing pneumothorax risk until further intervention.
Question 2 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 3 of 5
Which of the following clients diagnosed with myasthenia gravis would the nurse identify as most at risk for developing a cholinergic crisis? A client who
Correct Answer: A
Rationale: Taking an extra dose of anticholinesterase medication increases the risk of cholinergic crisis due to excessive acetylcholine stimulation.
Question 4 of 5
A client with a medical diagnosis of acute respiratory distress syndrome (ARDS) is being placed in the prone position. The nurse explains to family members that, 'This will help improve ventilation by:
Correct Answer: A
Rationale: Prone positioning improves ventilation in ARDS by allowing better airflow to less-damaged posterior lung regions, enhancing oxygenation.
Question 5 of 5
The client diagnosed with multiple sclerosis (MS) is at risk for fatigue. Which priority intervention would the nurse implement to address this issue?
Correct Answer: D
Rationale: Prioritizing activities helps manage energy levels, scheduling demanding tasks earlier to minimize fatigue in MS.