ATI RN
ATI Med Surg RN 221A Exam Questions
Question 1 of 5
Phenytoin (Dilantin) suspension 200 mg is prescribed for a client with epilepsy. The suspension contains 125 mg/5 ml. How much solution should the nurse administer? Record your answer using a whole number.
Correct Answer: 8 mL
Rationale: The document's explanation is incorrect.
To find the volume: (200 mg / 125 mg) * 5 mL = 8 mL. The suspension is 125 mg per 5 mL, so 200 mg requires 8 mL. The explanation's calculation (200 / 125 = 1.6 mL) and subsequent rounding to 8 mL are inconsistent with the proportion method and clinical practice. The correct volume, based on the proportion, is exactly 8 mL, which aligns with the answer provided.
Question 2 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 3 of 5
What is the nurse's primary consideration when caring for a client with rheumatoid arthritis?
Correct Answer: A
Rationale: Pain is the most debilitating symptom of rheumatoid arthritis, impacting quality of life. Ensuring comfort through pain management, rest, and a supportive environment is the nurse's primary focus.
Question 4 of 5
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?
Correct Answer: C
Rationale: Limiting alcohol intake reduces uric acid production and gout attack triggers. High-purine diets and aspirin can worsen gout, and adequate hydration (not fluid restriction) is recommended.
Question 5 of 5
A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4 T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?
Correct Answer: A
Rationale: A low CD4 count in AIDS increases susceptibility to opportunistic infections like candidiasis, a fungal infection causing oral thrush, due to a weakened immune system.