ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
Which of the following could the nurse expect to observe in an older adult client who has a pneumothorax?
Correct Answer: B
Rationale: A pneumothorax causes lung collapse, impairing gas exchange and leading to lower oxygen saturations (93% to 94%). Higher saturations, lower energy expenditure, and increased lung capacity are not expected due to compromised lung function.
Question 2 of 5
A nurse is planning care for a client who has a spinal cord injury and spasm-induced incontinence. Which of the following medications should the nurse anticipate a prescription for?
Correct Answer: D
Rationale: Oxybutynin (
D) is an anticholinergic that reduces bladder spasms and incontinence. Dulaglutide (
A) treats diabetes, Montelukast (
B) manages asthma, and Glatiramer (
C) is for multiple sclerosis, none of which address neurogenic bladder.
Question 3 of 5
A nurse is caring for a client who has chronic respiratory acidosis due to chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect with this client?
Correct Answer: D
Rationale: Delirium can occur in severe chronic respiratory acidosis due to elevated CO2 levels affecting brain function. Osteoporosis may develop over time but is not a direct finding. Polyuria is not typical, and anxiety/depression are related to COPD but not directly to respiratory acidosis.
Question 4 of 5
A nurse is caring for a client who has multiple sclerosis and is experiencing progressive multifocal leukoencephalopathy (PML). Which of the following medications should the nurse recognize is associated with the development of PML?
Correct Answer: B
Rationale: Natalizumab is a monoclonal antibody used for MS that increases PML risk, especially in JC virus antibody-positive patients. Pregabalin, furosemide, and metoprolol are not associated with PML.
Question 5 of 5
A client with heart failure reports dyspnea. Which action should the nurse take first?
Correct Answer: C
Rationale: Checking oxygen saturation assesses the client's respiratory status and guides further interventions.