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ATI Med Surg RN 221A Exam Questions

Question 1 of 5

A nurse is discussing gout with a patient who is concerned about developing the disorder. Which of the following findings should the nurse identify as risk factors for this disease? Select all that applies.

Correct Answer: C,D

Rationale: Cardiovascular disease increases gout risk due to associated conditions like hypertension and kidney disease, which elevate uric acid levels. Diuretic use, especially thiazides, reduces uric acid excretion, leading to hyperuricemia. Depression and sleep deprivation lack consistent evidence as direct risk factors for gout.

Question 2 of 5

A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Monitoring for muscle pain is critical, as colchicine can cause rhabdomyolysis, a serious condition requiring prompt reporting.

Question 3 of 5

The client tells the nurse, 'I am about to have a seizure.' Which of the actions should the nurse implement? (Select all that apply)

Correct Answer: A,B,E

Rationale: Loosening clothing aids breathing, easing to the floor prevents falls, and providing privacy protects dignity. Restraining or using a tongue blade can cause harm and is not recommended.

Question 4 of 5

A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus (SLE). The nurse should recognize the need for further teaching when the client identifies which of the following as a factor that can exacerbate SLE?

Correct Answer: A

Rationale: Exercise is beneficial for SLE patients, improving energy and joint flexibility. Sunlight, certain diets, and infections can exacerbate SLE, indicating the client's misunderstanding about exercise requires further teaching.

Question 5 of 5

What intervention should the nurse identify as a priority for a client with a nursing diagnosis of ineffective airway clearance related to HIV related pneumonia?

Correct Answer: A

Rationale: Coughing and deep breathing mobilize secretions, and hydration thins them, directly addressing airway clearance in pneumonia, making it the priority intervention.

Similar Questions

A nurse is calculating the output of a client at the end of the shift. The nurse notes the following: the client voided 400 mL at 1100 and 350 mL at 1430. The closed chest drainage system was previously marked at 155 mL and is now at 175 mL. The NG tube has 575 mL in the drainage container, and 25 mL is emptied out of the Jackson-Pratt drainage tube. How many mL should the nurse record in the medical record as the client's output?
When planning care for a patient diagnosed with fibromyalgia, the nurse addresses the potential problem of activity intolerance. What should the nurse recommend to the patient to most effectively address this problem?
A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?
A nurse is completing discharge instructions with a client following an acute onset of gout. Which of the following client statements indicates an understanding of the treatment regimen?
A nurse is assessing a 28-year-old client with HIV who has been admitted with pneumonia. Which of the following observations should the nurse prioritize?

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