MED SURG ATI ADVANCED FINAL EXAM /ATI
MED SURG ADVANCED FINAL PROCTORED
2024-2025 ACTUAL EXAM 350 QUESTIONS AND
CORRECT DETAILED ANSWERS
Practice questions for this set
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17. b. One of the most common complications of a seizure disorder is the
effect it has on the patient's lifestyle. This is because of the social stigma
attached to seizures, which causes patients to hide their diagnosis and to
prefer not to be identified as having epilepsy. Medication regimens usually
require only once- or twice-daily dosing and the major restrictions of lifestyle
usually involve driving and high-risk environments. Job discrimination against
the handicapped is prevented by federal and state laws and patients only
need to identify their disease in case of medical emergencies.
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26. The classic triad of manifestations associated with Parkinson's disease is tremor,
rigidity, and bradykinesia. What is a consequence related to rigidity?
1 a. Shuffling gait
b. Impaired handwriting
, c. Lack of postural stability
d. Muscle soreness and pain
It is important for the nurse providing care for a patient with sickle cell crisis to
a. limit the patient's intake of oral and IV fluids.
2 b. evaluate the effectiveness of opioid analgesics.
c. encourage the patient to ambulate as much as tolerated.
d. teach the patient about high-protein, high-calorie foods.
17. During the diagnosis and long-term management of a seizure disorder, what should
the nurse recognize as one of the major needs of the patient?
a. Managing the complicated drug regimen of seizure control
b. Coping with the effects of negative social attitudes toward epilepsy
c. Adjusting to the very restricted lifestyle required by a diagnosis of epilepsy
d. Learning to minimize the effect of the condition in order to obtain employment
he nurse advises a patient with myasthenia gravis (MG) to
a.
perform physically demanding activities early in the day.
b.
4 anticipate the need for weekly plasmapheresis treatments.
c.
do frequent weight-bearing exercise to prevent muscle atrophy.
d.
protect the extremities from injury due to poor sensory perception.
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Terms in this set (1085)
,A patient with myasthenia b.
gravis is admitted to the The reduction of the acetylcholine (ACh) effect in
hospital with respiratory myasthenia gravis (MG) is treated with anticholinesterase
insufficiency and severe drugs, which prolong the action of ACh at the
weakness. When is a neuromuscular synapse, but too much of these drugs will
diagnosis of cholinergic cause a cholinergic crisis with symptoms very similar to
crisis made? those of MG. To determine whether the patient's
manifestations are due to a deficiency of ACh or to too
a. The patient's respiration is much anticholinesterase drug, the anticholinesterase
impaired because of muscle drug edrophonium chloride (Tensilon) is administered. If
weakness. the patient is in cholinergic crisis, the patient's symptoms
b. Administration of will worsen; if the patient is in a myasthenic crisis, the
edrophonium (Tensilon) patient will improve.
increases muscle weakness.
c. Administration of
edrophonium (Tensilon)
results in improved muscle
contractility.
d. EMG reveals decreased
response to repeated
stimulation of muscles.
During care of a patient in c.
myasthenic crisis, The patient in myasthenic crisis has severe weakness and
maintenance of what is the fatigability of all skeletal muscles, affecting the patient's
nurse's first priority for the ability to breathe, swallow, talk, and move. However, the
patient? priority of nursing care is monitoring and maintaining
adequate ventilation.
a. Mobility
b. Nutrition
c. Respiratory function
d. Verbal communication
, When providing care for a b.
patient with ALS, the nurse In ALS there is gradual degeneration of motor neurons
recognizes what as one of with extreme muscle wasting from lack of stimulation
the most distressing and use. However, cognitive function is not impaired and
problems experienced by patients feel trapped in a dying body. Chorea manifested
the patient? by writhing, involuntary movements is characteristic of
HD. As an autosomal dominant genetic disease, HD also
a. Painful spasticity of the has a 50% chance of being passed to each offspring.
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
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