ATI RN
ATI Med Surg Woolery Final Exam Questions
Extract:
Question 1 of 5
Which nursing intervention is the most appropriate to implement for a client who experiencing weight loss due to nausea caused by chemotherapy?
Correct Answer: B
Rationale: Small, frequent meals can help manage nausea and ensure consistent calorie intake.
Question 2 of 5
A client is admitted to the hospital with a diagnosis of Amyotrophic Lateral Sclerosis (ALS). Which finding is consistent with known risk factors for this disease?
Correct Answer: D
Rationale: Military veterans have a higher incidence of ALS, possibly due to environmental exposures.
Question 3 of 5
A miotic medication has been prescribed for a client with acute angle-closure glaucoma. The client asks the nurse about the purpose of the medication. Which response should the nurse provide to the client?
Correct Answer: C
Rationale: Miotic medications constrict the pupil, opening the angle to facilitate fluid drainage in angle-closure glaucoma.
Extract:
Nurses' Notes
1000:
Client presents with reports of shortness of breath, dizziness, and "feelings of pressure" in jaw, neck, and left arm. Was mowing the lawn when feelings of discomfort began. Pressure has not subsided with rest. Provider updated, orders received.
1010:
Nitroglycerin sublingual tablet administered x2 doses, 5 min apart. Updated provider on diagnostic results.
1025:
Client states relief from discomfort after 2nd nitroglycerin tab, no current shortness of breath, dizziness, or feelings of pressure, continues to deny chest pain.
Provider updated, orders received.
Vital Signs
1000:
Temperature 36.4°C (97.6°F) Heart rate 112/min Respiratory rate 28/min
Blood pressure 146/74 mm Hg SaO2 93% on room air
1015:
Temperature 36.4°C (97,6°F) Heart rate 92/min Respiratory rate 24/min
Blood pressure 126/64 mm Hg
SaO2 96% on oxygen @ 2L/min via nasal cannula
Provider Orders
1005:
12 Lead EKG
Serum cardiac enzymes
Nitroglycerin 0.3 mg sublingual now, may repeat every 5 min for 2 additional doses for continued chest pain
Oxygen at 2 L/minute via nasal cannula for O2 saturation less than 95%
1030:
Schedule cardiac stress test Consult cardiology
Diagnostic Results
1010:
12 Lead EKG: Sinus tachycardia with ST depression Troponin I: 0.01 ng/mL
Troponin T: 0.03 ng/mL
Question 4 of 5
For each of the following findings in the client's medical record, click to specify if they are consistent with unstable angina or a myocardial infarction (MI). Each finding may support more than one disease process.
| Options | Unstable Angina | Myocardial Infarction |
|---|---|---|
| Client's response to nitroglycerin therapy (Unstable Angina) | ||
| Client's initial report of manifestations (Unstable Angina, Myocardial Infarction) | ||
| 12 Lead EKG report (Unstable Angina) | ||
| Troponin results (Unstable Angina) |
Correct Answer: A,B,C,D
Rationale: Nitroglycerin relief and normal troponins support unstable angina; symptoms and EKG findings can indicate both conditions.
Extract:
Question 5 of 5
A nurse is assessing a client who is 12 hours postoperative following a thyroidectomy. Which of the following findings is indicative of thyrotoxic crisis?
Correct Answer: C
Rationale: Hyperthermia is a key sign of thyrotoxic crisis due to the hypermetabolic state.