2024 ATI Med Surg Exam 3 New Latest Version with All Questions from Actual Past Exam and 100% Correct Answers

Question 1:
Which of the following medications are used to treat and prevent strokes?
A. Antihypertensive medication
B. Anti-cholesterol medication
C. Antiplatelet medication
D. All of the above
Show correct answer and explanation
Explanation
Choice A: Antihypertensive medication lowers blood pressure, which reduces the
risk of stroke caused by high blood pressure or hypertension.
Choice B: Anti-cholesterol medication lowers the level of cholesterol in the blood,
which reduces the risk of stroke caused by atherosclerosis or plaque buildup in
the arteries.
Choice C: Antiplatelet medication prevents blood clots from forming, which
reduces the risk of stroke caused by ischemia or blockage of blood flow to the
brain.
Choice D: All of the above medications are used to treat and prevent strokes, as
they address different risk factors and causes of stroke.
Question 2:
What is the main side effect of IV Thrombolytic therapy TPA?
A. High blood pressure
B. Bleeding
C. Confusion
D. All of the above
Show correct answer and explanation
Explanation
Choice A: High blood pressure is not a side effect of IV Thrombolytic therapy TPA,
but rather a contraindication or a reason not to use it. TPA can increase the risk of
bleeding in patients with high blood pressure.
Choice B: Bleeding is the main side effect of IV Thrombolytic therapy TPA, as it
dissolves blood clots and can cause bleeding in the brain or other parts of the
body.
Choice C: Confusion is not a side effect of IV Thrombolytic therapy TPA, but rather
a symptom of stroke. TPA can improve confusion by restoring blood flow to the
brain.
Choice D: All of the above is not correct, as only bleeding is a side effect of IV
Thrombolytic therapy TPA.
Question 3:
Assisting a stroke patient with feeding would include:
A. Head of bed 45 degrees
B. Patient should be on a regular diet to rebuild their swallowing ability
C. Have patient sit upright 90 degrees in bed or chair
D. All of the above
Show correct answer and explanation
Explanation
Choice A: Head of bed 45 degrees is not enough to prevent aspiration or choking,
as the patient may still have difficulty swallowing and clearing their airway.
Choice B: Patient should be on a regular diet to rebuild their swallowing ability is
not correct, as the patient may need a modified diet depending on their level of
dysphagia or swallowing impairment. A regular diet may pose a risk of aspiration
or choking.
Choice C: Have patient sit upright 90 degrees in bed or chair is correct, as this
position helps the patient align their head and neck and use gravity to facilitate
swallowing and prevent aspiration.
Choice D: All of the above is not correct, as only choice C is appropriate for
assisting a stroke patient with feeding.
Question 4:
Which health care discipline would the nurse consult to help a stroke patient
with nutrition?
A. Speech therapist
B. Respiratory therapist
C. Physical therapist
D. Social worker
Show correct answer and explanation
Explanation
Choice A: Speech therapist is correct, as they can assess and treat the patient's
swallowing function and recommend appropriate diets and feeding strategies.
Choice B: Respiratory therapist is not correct, as they can help the patient with
breathing problems and oxygen therapy, but not with nutrition.
Choice C: Physical therapist is not correct, as they can help the patient with
mobility and exercise, but not with nutrition.
Choice D: Social worker is not correct, as they can help the patient with
psychosocial and financial issues, but not with nutrition.
Question 5:
Nursing management of headache would include:
A. Dark quiet room
B. Massage
C. Pain medication
D. All of the above
Show correct answer and explanation
Explanation
Choice A: Dark quiet room is correct, as it can reduce the sensory stimulation and
help the patient relax and rest.
Choice B: Massage is correct, as it can relieve muscle tension and improve blood
circulation in the head and neck.
Choice C: Pain medication is correct, as it can reduce inflammation and block
pain signals in the brain.
Choice D: All of the above is correct, as all of these interventions can help
manage headache.
Question 6:
Which of the following is a modifiable risk factor of strokes?
A. Ethnicity
B. Gender
C. Age
D. Obesity
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Explanation
Choice A: Ethnicity is not a modifiable risk factor of strokes, as it is determined by
genetic and cultural factors that cannot be changed.
Choice B: Gender is not a modifiable risk factor of strokes, as it is determined by
biological and hormonal factors that cannot be changed.
Choice C: Age is not a modifiable risk factor of strokes, as it is determined by
chronological factors that cannot be changed.
Choice D: Obesity is a modifiable risk factor of strokes, as it can be reduced by
lifestyle changes such as diet and exercise. Obesity can increase the risk of
strokes by causing high blood pressure, diabetes, and heart disease.
Question 7:
Which of the following medications may be used to reduce cerebral edema?
A. Corticosteroids
B. Antibiotics
C. Tylenol
D. All of the above
Show correct answer and explanation
Explanation
Choice A: Corticosteroids is correct, as they can reduce inflammation and
swelling in the brain by suppressing the immune system and decreasing the
permeability of blood vessels.
Choice B: Antibiotics is not correct, as they are used to treat bacterial infections,
not cerebral edema.
Choice C: Tylenol is not correct, as it is a pain reliever and fever reducer, not an
anti-inflammatory agent.
Choice D: All of the above is not correct, as only corticosteroids can be used to
reduce cerebral edema.
Question 8:
What sign/symptom of a patient would cause the nurse to suspect cerebral
spinal fluid leakage?
A. Altered level of consciousness
B. Painful headache
C. Salty taste in their mouth, postnasal drip or clear fluid draining from the
nose
D. All of the above
Show correct answer and explanation
Explanation
Choice A: Altered level of consciousness is not a sign/symptom of cerebral spinal
fluid leakage, but rather a sign/symptom of increased intracranial pressure or
brain injury.
Choice B: Painful headache is not a sign/symptom of cerebral spinal fluid
leakage, but rather a sign/symptom of meningitis or sinusitis.
Choice C: Salty taste in their mouth, postnasal drip or clear fluid draining from the
nose is a sign/symptom of cerebral spinal fluid leakage, as it indicates that the
fluid is escaping from the brain or spinal cord through a tear or hole in the
meninges or skull.
Choice D: All of the above is not correct, as only choice C is a sign/symptom of
cerebral spinal fluid leakage.