ATI RN
ATI Med Surg RN 221A Exam Questions
Question 1 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.
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
A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Assuming phenytoin can be stopped indicates a misunderstanding, as abrupt cessation risks seizures, requiring further teaching.
Question 4 of 5
The nurse is planning education for a patient diagnosed with fibromyalgia. Which risk factors should the nurse include in the teaching plan? (Select all that apply)
Correct Answer: A,D,E
Rationale: Rheumatologic conditions, deep sleep deprivation, and physical/emotional trauma are linked to fibromyalgia due to immune dysregulation, pain sensitivity, and stress-related changes. Nutritional deficiencies and bone injuries lack strong evidence as direct risk factors.
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.