ATI MED SURG ADVANCED
FINAL PROCTORED 2025
ACTUAL EXAM 350 QUESTIONS
AND CORRECT DETAILED
ANSWERS
,A patient with myasthenia b.
gravis is admitted to The reduction of the acetylcholine (ACh) effect in
the hospital with myasthenia gravis (MG) is treated with
respiratory anticholinesterase drugs, which prolong the action of
insufficiency and ACh at the neuromuscular synapse, but too much
severe weakness. of these drugs will cause a cholinergic crisis with
When is a diagnosis of symptoms very similar to those of MG. To determine
cholinergic crisis whether the patient's manifestations are due to a
made? deficiency of ACh or to too much
anticholinesterase drug, the anticholinesterase
a. The patient's drug edrophonium chloride (Tensilon) is
respiration is impaired administered. If the patient is in cholinergic crisis, the
because of muscle patient's symptoms will worsen; if the patient is in a
weakness. myasthenic crisis, the patient will improve.
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.
During care of a patient c.
in myasthenic crisis, The patient in myasthenic crisis has severe weakness
maintenance of what is and fatigability of all skeletal muscles, affecting
the nurse's first priority the patient's ability to breathe, swallow, talk, and
for the patient? move. However, the 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
recognizes what as one of neurons with extreme muscle wasting from lack of
the most distressing stimulation and use. However, cognitive function is
problems experienced by not impaired and patients feel trapped in a dying
the patient? body. Chorea manifested by writhing, involuntary
movements is characteristic of HD. As an
a.Painful spasticity of autosomal dominant genetic disease, HD also has
the face and 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 c.
patients with chronic, Many chronic neurologic diseases involve progressive
progressive neurologic deterioration in physical or mental capabilities and
disease, what is the major have no cure, with devastating results for patients
goal of treatment that the and families. Health care providers can only
nurse works toward? attempt to alleviate physical symptoms, prevent
complications, and assist patients in maximizing
a.Meet the function and self-care abilities for as long as
patient's personal possible.
care needs.
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.
FINAL PROCTORED 2025
ACTUAL EXAM 350 QUESTIONS
AND CORRECT DETAILED
ANSWERS
,A patient with myasthenia b.
gravis is admitted to The reduction of the acetylcholine (ACh) effect in
the hospital with myasthenia gravis (MG) is treated with
respiratory anticholinesterase drugs, which prolong the action of
insufficiency and ACh at the neuromuscular synapse, but too much
severe weakness. of these drugs will cause a cholinergic crisis with
When is a diagnosis of symptoms very similar to those of MG. To determine
cholinergic crisis whether the patient's manifestations are due to a
made? deficiency of ACh or to too much
anticholinesterase drug, the anticholinesterase
a. The patient's drug edrophonium chloride (Tensilon) is
respiration is impaired administered. If the patient is in cholinergic crisis, the
because of muscle patient's symptoms will worsen; if the patient is in a
weakness. myasthenic crisis, the patient will improve.
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.
During care of a patient c.
in myasthenic crisis, The patient in myasthenic crisis has severe weakness
maintenance of what is and fatigability of all skeletal muscles, affecting
the nurse's first priority the patient's ability to breathe, swallow, talk, and
for the patient? move. However, the 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
recognizes what as one of neurons with extreme muscle wasting from lack of
the most distressing stimulation and use. However, cognitive function is
problems experienced by not impaired and patients feel trapped in a dying
the patient? body. Chorea manifested by writhing, involuntary
movements is characteristic of HD. As an
a.Painful spasticity of autosomal dominant genetic disease, HD also has
the face and 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 c.
patients with chronic, Many chronic neurologic diseases involve progressive
progressive neurologic deterioration in physical or mental capabilities and
disease, what is the major have no cure, with devastating results for patients
goal of treatment that the and families. Health care providers can only
nurse works toward? attempt to alleviate physical symptoms, prevent
complications, and assist patients in maximizing
a.Meet the function and self-care abilities for as long as
patient's personal possible.
care needs.
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.
