ATI RN ADVANCED MEDICAL SURGICAL PROCTORED EXAM 2023 WITH NGN AND DETAILED QUESTION AND CORRECTLY HIGHLIGHTED ANSWERS WITH EXPLANITIONS RANKED
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QUESTION 1
The nurse is obtaining a health history for a 64-year-old patient with glaucoma who is a new patient at the eye clinic. Which information given by the patient will have the most implications for the patient's treatment? a. "I have had frequent episodes of conjunctivitis."
b. "I use aspirin when I have a sinus headache."
c. "I take metoprolol (Lopressor) daily for angina."
d. "I have not had an eye examination for 10 years."
The correct answer is: "I take metoprolol (Lopressor) daily for angina."
It is important to note whether the patient takes any â-adrenergic blockers because this category of medications also is used to treat glaucoma, and there may be an increase in adverse effects. The use of aspirin does not increase intraocular pressure and is safe for patients with glaucoma. Although older patients should have yearly eye
examinations, the treatment for this patient will not be affected by the 10-year gap in eye care. Conjunctivitis does not increase the risk for glaucoma.
QUESTION 2
Which teaching is appropriate for the person with recently diagnosed peptic ulcer disease?
a. "Nausea is a common side effect of the medications that have been prescribed for you."
b. "You will recover more quickly if you follow your drug treatment guidelines closely."
c. "Increasing your intake of milk and milk-based products will facilitate healing."
d. "Limiting your physical activities will help decrease the acid your stomach produces."
The correct answer is: "You will recover more quickly if you follow your drug treatment guidelines closely." A patient with recurring heartburn receives a new prescription for esomeprazole (Nexium). In teaching the patient about this medication, the nurse explains that this drug
a. treats gastroesophageal reflux disease by decreasing stomach acid production
b. reduces the reflux of gastric acid by increasing the rate of gastric emptying.
c. coats and protects the lining of the stomach and esophagus from gastric acid.
d. neutralizes stomach acid and provides relief of symptoms in a few minutes.
The correct answer is: treats gastroesophageal reflux disease by decreasing stomach acid production. The proton pump inhibitors decrease the rate of gastric acid secretion. Promotility drugs such as metoclopramide (Reglan) increase the rate of gastric emptying. Cryoprotective medications such as sucralfate (Carafate) protect the stomach. Antacids neutralize stomach acid and work rapidly. [Show Less]