Ati Med surg Endocrine Actual Final Exam Newest / Ati Med
surg Endocrine Exam Preparation / Ati Med surg Endocrine
Practice Exam With Complete 300 Questions And Correct
Detailed Answers |Already Graded A+(Newest Version!)
The health care provider is considering the use of sumatriptan (Imitrex) for a 54-year-old male
patient with migraine headaches. Which information obtained by the nurse is most important
to report to the health care provider?
a. The patient drinks 1 to 2 cups of coffee daily.
b. The patient had a recent acute myocardial infarction.
c. The patient has had migraine headaches for 30 years.
d. The patient has taken topiramate (Topamax) for 2 months. - answer-;B.
The triptans cause coronary artery vasoconstriction and should be avoided in patients with
coronary artery disease. The other information will be reported to the health care provider, but
none of it indicates that sumatriptan would be an inappropriate treatment.
The nurse advises a patient with myasthenia gravis (MG) to
a. perform physically demanding activities early in the day.
b. 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. - answer-;A.
Muscles are generally strongest in the morning, and activities involving muscle activity should
be scheduled then. Plasmapheresis is not routinely scheduled, but is used for myasthenia crisis
,or for situations in which corticosteroid therapy must be avoided. There is no decrease in
sensation with MG, and muscle atrophy does not occur because although there is muscle
weakness, they are still used.
The nurse observes a patient ambulating in the hospital hall when the patient's arms and legs
suddenly jerk and the patient falls to the floor. The nurse will first
a. assess the patient for a possible head injury.
b. give the scheduled dose of divalproex (Depakote).
c. document the timing and description of the seizure.
d. notify the patient's health care provider about the seizure. - answer-;A.
The patient who has had a myoclonic seizure and fall is at risk for head injury and should first be
evaluated and treated for this possible complication. Documentation of the seizure, notification
of the seizure, and administration of antiseizure medications are also appropriate actions, but
the initial action should be assessment for injury.
Which medication taken by a patient with restless legs syndrome should the nurse discuss with
the patient?
a. Multivitamin (Stresstabs)
b. Acetaminophen (Tylenol)
c. Ibuprofen (Motrin, Advil)
d. Diphenhydramine (Benadryl) - answer-;D.
Antihistamines can aggravate restless legs syndrome. The other medications will not contribute
to restless legs syndrome.
Which prescribed intervention will the nurse implement first for a patient in the emergency
department who is experiencing continuous tonic-clonic seizures?
,a. Give phenytoin (Dilantin) 100 mg IV.
b. Monitor level of consciousness (LOC).
c. Obtain computed tomography (CT) scan.
d. Administer lorazepam (Ativan) 4 mg IV. - answer-;D.
To prevent ongoing seizures, the nurse should administer rapidly acting antiseizure medications
such as the benzodiazepines. A CT scan is appropriate, but prevention of any seizure activity
during the CT scan is necessary. Phenytoin will also be administered, but it is not rapidly acting.
Patients who are experiencing tonic-clonic seizures are nonresponsive, although the nurse
should assess LOC after the seizure.
A 64-year-old patient who has amyotrophic lateral sclerosis (ALS) is hospitalized with
pneumonia. Which nursing action will be included in the plan of care?
a. Assist with active range of motion (ROM).
b. Observe for agitation and paranoia.
c. Give muscle relaxants as needed to reduce spasms.
d. Use simple words and phrases to explain procedures. - answer-;A.
ALS causes progressive muscle weakness, but assisting the patient to perform active ROM will
help maintain strength as long as possible. Psychotic manifestations such as agitation and
paranoia are not associated with ALS. Cognitive function is not affected by ALS, and the patient's
ability to understand procedures will not be impaired. Muscle relaxants will further increase
muscle weakness and depress respirations.
The home health registered nurse (RN) is planning care for a patient with a seizure disorder
related to a recent head injury. Which nursing action can be delegated to a licensed
practical/vocational nurse (LPN/LVN)?
a. Make referrals to appropriate community agencies.
b. Place medications in the home medication organizer.
, c. Teach the patient and family how to manage seizures.
d. Assess for use of medications that may precipitate seizures. - answer-;B.
LPN/LVN education includes administration of medications. The other activities require RN
education and scope of practice.
A 40-year-old patient is diagnosed with early Huntington's disease (HD). When teaching the
patient, spouse, and children about this disorder, the nurse will provide information about the
a. use of levodopa-carbidopa (Sinemet) to help reduce HD symptoms.
b. prophylactic antibiotics to decrease the risk for aspiration pneumonia.
c. option of genetic testing for the patient's children to determine their own HD risks.
d. lifestyle changes of improved nutrition and exercise that delay disease progression. - answer-
;C.
Genetic testing is available to determine whether an asymptomatic individual has the HD gene.
The patient and family should be informed of the benefits and problems associated with genetic
testing. Sinemet will increase symptoms of HD because HD involves an increase in dopamine.
Antibiotic therapy will not reduce the risk for aspiration. There are no effective treatments or
lifestyle changes that delay the progression of symptoms in HD.
A 76-year-old patient is being treated with carbidopa/levodopa (Sinemet) for Parkinson's
disease. Which information is most important for the nurse to report to the health care
provider?
a. Shuffling gait
b. Tremor at rest
c. Cogwheel rigidity of limbs
d. Uncontrolled head movement - answer-;D.
Dyskinesia is an adverse effect of the Sinemet, indicating a need for a change in medication or
decrease in dose. The other findings are typical with Parkinson's disease.
surg Endocrine Exam Preparation / Ati Med surg Endocrine
Practice Exam With Complete 300 Questions And Correct
Detailed Answers |Already Graded A+(Newest Version!)
The health care provider is considering the use of sumatriptan (Imitrex) for a 54-year-old male
patient with migraine headaches. Which information obtained by the nurse is most important
to report to the health care provider?
a. The patient drinks 1 to 2 cups of coffee daily.
b. The patient had a recent acute myocardial infarction.
c. The patient has had migraine headaches for 30 years.
d. The patient has taken topiramate (Topamax) for 2 months. - answer-;B.
The triptans cause coronary artery vasoconstriction and should be avoided in patients with
coronary artery disease. The other information will be reported to the health care provider, but
none of it indicates that sumatriptan would be an inappropriate treatment.
The nurse advises a patient with myasthenia gravis (MG) to
a. perform physically demanding activities early in the day.
b. 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. - answer-;A.
Muscles are generally strongest in the morning, and activities involving muscle activity should
be scheduled then. Plasmapheresis is not routinely scheduled, but is used for myasthenia crisis
,or for situations in which corticosteroid therapy must be avoided. There is no decrease in
sensation with MG, and muscle atrophy does not occur because although there is muscle
weakness, they are still used.
The nurse observes a patient ambulating in the hospital hall when the patient's arms and legs
suddenly jerk and the patient falls to the floor. The nurse will first
a. assess the patient for a possible head injury.
b. give the scheduled dose of divalproex (Depakote).
c. document the timing and description of the seizure.
d. notify the patient's health care provider about the seizure. - answer-;A.
The patient who has had a myoclonic seizure and fall is at risk for head injury and should first be
evaluated and treated for this possible complication. Documentation of the seizure, notification
of the seizure, and administration of antiseizure medications are also appropriate actions, but
the initial action should be assessment for injury.
Which medication taken by a patient with restless legs syndrome should the nurse discuss with
the patient?
a. Multivitamin (Stresstabs)
b. Acetaminophen (Tylenol)
c. Ibuprofen (Motrin, Advil)
d. Diphenhydramine (Benadryl) - answer-;D.
Antihistamines can aggravate restless legs syndrome. The other medications will not contribute
to restless legs syndrome.
Which prescribed intervention will the nurse implement first for a patient in the emergency
department who is experiencing continuous tonic-clonic seizures?
,a. Give phenytoin (Dilantin) 100 mg IV.
b. Monitor level of consciousness (LOC).
c. Obtain computed tomography (CT) scan.
d. Administer lorazepam (Ativan) 4 mg IV. - answer-;D.
To prevent ongoing seizures, the nurse should administer rapidly acting antiseizure medications
such as the benzodiazepines. A CT scan is appropriate, but prevention of any seizure activity
during the CT scan is necessary. Phenytoin will also be administered, but it is not rapidly acting.
Patients who are experiencing tonic-clonic seizures are nonresponsive, although the nurse
should assess LOC after the seizure.
A 64-year-old patient who has amyotrophic lateral sclerosis (ALS) is hospitalized with
pneumonia. Which nursing action will be included in the plan of care?
a. Assist with active range of motion (ROM).
b. Observe for agitation and paranoia.
c. Give muscle relaxants as needed to reduce spasms.
d. Use simple words and phrases to explain procedures. - answer-;A.
ALS causes progressive muscle weakness, but assisting the patient to perform active ROM will
help maintain strength as long as possible. Psychotic manifestations such as agitation and
paranoia are not associated with ALS. Cognitive function is not affected by ALS, and the patient's
ability to understand procedures will not be impaired. Muscle relaxants will further increase
muscle weakness and depress respirations.
The home health registered nurse (RN) is planning care for a patient with a seizure disorder
related to a recent head injury. Which nursing action can be delegated to a licensed
practical/vocational nurse (LPN/LVN)?
a. Make referrals to appropriate community agencies.
b. Place medications in the home medication organizer.
, c. Teach the patient and family how to manage seizures.
d. Assess for use of medications that may precipitate seizures. - answer-;B.
LPN/LVN education includes administration of medications. The other activities require RN
education and scope of practice.
A 40-year-old patient is diagnosed with early Huntington's disease (HD). When teaching the
patient, spouse, and children about this disorder, the nurse will provide information about the
a. use of levodopa-carbidopa (Sinemet) to help reduce HD symptoms.
b. prophylactic antibiotics to decrease the risk for aspiration pneumonia.
c. option of genetic testing for the patient's children to determine their own HD risks.
d. lifestyle changes of improved nutrition and exercise that delay disease progression. - answer-
;C.
Genetic testing is available to determine whether an asymptomatic individual has the HD gene.
The patient and family should be informed of the benefits and problems associated with genetic
testing. Sinemet will increase symptoms of HD because HD involves an increase in dopamine.
Antibiotic therapy will not reduce the risk for aspiration. There are no effective treatments or
lifestyle changes that delay the progression of symptoms in HD.
A 76-year-old patient is being treated with carbidopa/levodopa (Sinemet) for Parkinson's
disease. Which information is most important for the nurse to report to the health care
provider?
a. Shuffling gait
b. Tremor at rest
c. Cogwheel rigidity of limbs
d. Uncontrolled head movement - answer-;D.
Dyskinesia is an adverse effect of the Sinemet, indicating a need for a change in medication or
decrease in dose. The other findings are typical with Parkinson's disease.
