MED SURG ATI ADVANCED FINAL EXAM /ATI MED SURG ADVANCED FINAL PROCTORED ACTUAL EXAM 350 QUESTIONS AND CORRECT DETAILED ANSWERS
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Course
MED SURGRG AD
Institution
MED SURGRG AD
MED SURG ATI ADVANCED FINAL
EXAM /ATI MED SURG ADVANCED
FINAL PROCTORED
ACTUAL EXAM 350 QUESTIONS AND
CORRECT DETAILED ANSWERS
While the nurse is transporting a patient on a stretcher
to the radiology department, the patient begins having a
tonic-clonic seizure. Which action...
MED SURG ATI ADVANCED FINAL
EXAM /ATI MED SURG ADVANCED
FINAL PROCTORED 2024-2025
ACTUAL EXAM 350 QUESTIONS AND
CORRECT DETAILED ANSWERS
While the nurse is transporting a patient on a stretcher
to the radiology department, the patient begins having a
tonic-clonic seizure. Which action should the nurse take?
a. Insert an oral airway during the seizure to maintain a
patent airway.
b. Restrain the patient's arms and legs to prevent injury
during the seizure.
,c. Time and observe and record the details of the seizure
and postictal state.
d. Avoid touching the patient to prevent further nervous
system stimulation. - ANSWER-C.
Rationale: Because the diagnosis and treatment of
seizures frequently are based on the description of the
seizure, recording the length and details of the seizure is
important. Insertion of an oral airway and restraining the
patient during the seizure are contraindicated. The nurse
may need to move the patient to decrease the risk of
injury during the seizure.
A patient with myasthenia gravis is admitted to the
hospital with respiratory insufficiency and severe
weakness. When is a diagnosis of cholinergic crisis made?
a. The patient's respiration is impaired because of muscle
weakness.
b. Administration of edrophonium (Tensilon) increases
muscle weakness.
c. Administration of edrophonium (Tensilon) results in
improved muscle contractility.
,d. EMG reveals decreased response to repeated
stimulation of muscles. - ANSWER-b.
Rationale: The reduction of the acetylcholine (ACh) effect
in myasthenia gravis (MG) is treated with
anticholinesterase drugs, which prolong the action of
ACh at the neuromuscular synapse, but too much of
these drugs will cause a cholinergic crisis with symptoms
very similar to those of MG. To determine whether the
patient's manifestations are due to a deficiency of ACh or
to too much anticholinesterase drug, the
anticholinesterase drug edrophonium chloride (Tensilon)
is administered. If the patient is in cholinergic crisis, the
patient's symptoms will worsen; if the patient is in a
myasthenic crisis, the patient will improve.
During care of a patient in myasthenic crisis,
maintenance of what is the nurse's first priority for the
patient?
a. Mobility
b. Nutrition
c. Respiratory function
, d. Verbal communication - ANSWER-c.
Rationale: The patient in myasthenic crisis has severe
weakness and fatigability of all skeletal muscles, affecting
the patient's ability to breathe, swallow, talk, and move.
However, the priority of nursing care is monitoring and
maintaining adequate ventilation.
When providing care for a patient with ALS, the nurse
recognizes what as one of the most distressing problems
experienced by the patient?
a. Painful spasticity of the face and extremities
b. Retention of cognitive function with total
degeneration of motor function
c. Uncontrollable writhing and twisting movements of
the face, limbs, and body
d. Knowledge that there is a 50% chance the disease has
been passed to any offspring - ANSWER-b.
Rationale: In ALS there is gradual degeneration of motor
neurons with extreme muscle wasting from lack of
stimulation and use. However, cognitive function is not
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