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Med Surg Ati Advanced Final Exam /Ati Med Surg Advanced Final Proctored Actual Exam 350 Questions And Correct Detailed Answers

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MED SURG ATI ADVANCED FINAL EXAM /ATI MED SURG ADVANCED FINAL PROCTORED ACTUAL EXAM 350 QUESTIONS AND CORRECT DETAILED ANSWERS

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9/30/25, 11:02 PM MED SURG ATI ADVANCED FINAL EXAM /ATI MED SURG ADVANCED FINAL PROCTORED 2024-2025 ACTUAL EXAM 350 Q…



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MED SURG ATI ADVANCED FINAL EXAM /ATI MED SURG
ADVANCED FINAL PROCTORED 2024-2025 ACTUAL
EXAM 350 QUESTIONS AND CORRECT DETAILED
ANSWERS
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Terms in this set (1085)


A patient with myasthenia gravis is admitted b.
to the hospital with respiratory insufficiency The reduction of the acetylcholine (ACh) effect in myasthenia gravis (MG) is treated
and severe weakness. When is a diagnosis with anticholinesterase drugs, which prolong the action of ACh at the neuromuscular
of cholinergic crisis made? 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
a. The patient's respiration is impaired due to a deficiency of ACh or to too much anticholinesterase drug, the
because of muscle weakness. anticholinesterase drug edrophonium chloride (Tensilon) is administered. If the
b. Administration of edrophonium (Tensilon) patient is in cholinergic crisis, the patient's symptoms will worsen; if the patient is in a
increases muscle weakness. myasthenic crisis, the patient will improve.
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 myasthenic c.
crisis, maintenance of what is the nurse's The patient in myasthenic crisis has severe weakness and fatigability of all skeletal
first priority for the patient? muscles, affecting the patient's ability to breathe, swallow, talk, and move. However,
the priority of nursing care is monitoring and maintaining adequate ventilation.
a. Mobility
b. Nutrition
c. Respiratory function
d. Verbal communication




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,9/30/25, 11:02 PM MED SURG ATI ADVANCED FINAL EXAM /ATI MED SURG ADVANCED FINAL PROCTORED 2024-2025 ACTUAL EXAM 350 Q…

When providing care for a patient with ALS, b.
the nurse recognizes what as one of the In ALS there is gradual degeneration of motor neurons with extreme muscle wasting
most distressing problems experienced by from lack of stimulation and use. However, cognitive function is not impaired and
the patient? patients feel trapped in a dying body. Chorea manifested by writhing, involuntary
movements is characteristic of HD. As an autosomal dominant genetic disease, HD
a. Painful spasticity of the face and also has a 50% chance of being passed to each offspring.
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




In providing care for patients with chronic, c.
progressive neurologic disease, what is the Many chronic neurologic diseases involve progressive deterioration in physical or
major goal of treatment that the nurse mental capabilities and have no cure, with devastating results for patients and
works toward? families. Health care providers can only attempt to alleviate physical symptoms,
prevent complications, and assist patients in maximizing function and self-care
a. Meet the patient's personal care needs. abilities for as long as possible.
b. Return the patient to normal neurologic
function.
c. Maximize neurologic functioning for as
long as possible.
d. Prevent the development of additional
chronic diseases.




The nurse determines that teaching about C.
management of migraine headaches has It is recommended that the patient with a migraine rest in a dark, quiet area.
been effective when the patient says which Topiramate (Topamax) is used to prevent migraines and must be taken for several
of the following? months to determine effectiveness. Aspirin or other nonsteroidal antiinflammatory
medications can be taken with the triptans. Alcohol may precipitate migraine
a. "I can take the (Topamax) as soon as a headaches.
headache starts."
b. "A glass of wine might help me relax and
prevent a headache."
c. "I will lie down someplace dark and quiet
when the headaches begin."
d. "I should avoid taking aspirin and
sumatriptan (Imitrex) at the same time."

A patient who is having an acute 2.56. With a concentration of 125 mg/2 mL, the nurse will need to administer 2.56 mL
exacerbation of multiple sclerosis has a to obtain 160 mg of methylprednisolone.
prescription for methylprednisolone (Solu-
Medrol) 160 mg IV. The label on the vial
reads: methylprednisolone 125 mg in 2 mL.
How many mL will the nurse administer?




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, 9/30/25, 11:02 PM MED SURG ATI ADVANCED FINAL EXAM /ATI MED SURG ADVANCED FINAL PROCTORED 2024-2025 ACTUAL EXAM 350 Q…

The nurse will assess a 67-year-old patient B.
who is experiencing a cluster headache for Unilateral eye edema, tearing, and ptosis are characteristic of cluster headaches.
Nuchal rigidity suggests meningeal irritation, such as occurs with meningitis.
a. nuchal rigidity. Although nausea and vomiting may occur with migraine headaches, projectile
b. unilateral ptosis. vomiting is more consistent with increased intracranial pressure (ICP). Unilateral
c. projectile vomiting. sharp, stabbing pain, rather than throbbing pain, is characteristic of cluster
d. throbbing, bilateral facial pain. headaches.

While the nurse is transporting a patient on C.
a stretcher to the radiology department, Because the diagnosis and treatment of seizures frequently are based on the
the patient begins having a tonic-clonic description of the seizure, recording the length and details of the seizure is
seizure. Which action should the nurse important. Insertion of an oral airway and restraining the patient during the seizure
take? are contraindicated. The nurse may need to move the patient to decrease the risk of
injury during the seizure.
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.




A high school teacher who has just been B.
diagnosed with epilepsy after having a The nurse should inform the patient that most patients with seizure disorders are
generalized tonic-clonic seizure tells the controlled with medication. The other information may be necessary if the seizures
nurse, "I cannot teach anymore, it will be persist after treatment with antiseizure medications is implemented.
too upsetting if I have a seizure at work."
Which response by the nurse is best?


a. "You might benefit from some
psychologic counseling."
b. "Epilepsy usually can be well controlled
with medications."
c. "You will want to contact the Epilepsy
Foundation for assistance."
d. "The Department of Vocational
Rehabilitation can help with work
retraining."

A patient has been taking phenytoin A.
(Dilantin) for 2 years. Which action will the Phenytoin can cause gingival hyperplasia, but does not affect bowel tones, lung
nurse take when evaluating for adverse sounds, or pupil reaction to light.
effects of the medication?


a. Inspect the oral mucosa.
b. Listen to the lung sounds.
c. Auscultate the bowel tones.
d. Check pupil reaction to light.




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2025/2026
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