ATI RN
ATI n200 Med Surg Exam Questions
Question 1 of 5
The client has been diagnosed with rheumatoid arthritis and asks, 'What impact will this have on my activities of daily living in the years to come?' What is the best response by the nurse?
Correct Answer: B
Rationale: Suggesting remedies prematurely without fully understanding the client's concerns might not address their specific needs. The best response is to encourage open communication by acknowledging the client's concerns and fostering a discussion. This approach helps the nurse understand the client's worries and provide tailored information about rheumatoid arthritis and its potential impact on daily life. The progression of rheumatoid arthritis is variable and can affect activities of daily living more noticeably over time; it's not always subtle. While predicting disease outcomes can be difficult, giving a more open response like option B will foster better communication and support.
Question 2 of 5
A client with systemic lupus erythematosis has a history of tuberculosis exposure that has been treated. Which medication should the nurse question as possible cause for the lupus symptoms?
Correct Answer: A
Rationale: Isoniazid, a medication used to treat tuberculosis, can trigger or worsen systemic lupus erythematosus (SLE) symptoms in some individuals. This is a known side effect, and the nurse should question its use in a client with a history of lupus. Furosemide is a diuretic that can cause electrolyte imbalances but is not typically associated with triggering lupus symptoms. Warfarin is an anticoagulant, and while it interacts with many drugs, it is not specifically associated with exacerbating lupus symptoms. Levofloxacin is an antibiotic and is generally safe for individuals with lupus unless there are specific contraindications, but it is not known to trigger lupus flare-ups.
Question 3 of 5
A client with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:
Correct Answer: C
Rationale: The drug should not be held based on how the client feels. Infliximab is prescribed based on specific treatment protocols, and stopping it could negatively impact disease management. Infliximab can be taken regardless of food intake, so it's not necessary to take it with food or milk. Infliximab is an immunosuppressive medication, which increases the risk of infections. Teaching the client and caregivers about the importance of hand hygiene is essential in preventing infections. There is no requirement for the drug to be given specifically in the morning. It can be given according to the prescribed schedule, typically at intervals based on disease management.
Question 4 of 5
A nurse is assessing a client on the first post-operative day after a L3-4 laminectomy and diskectomy. The client now complains of numbness and tingling in the left leg. What is the nurse's first priority?
Correct Answer: A
Rationale: The first priority is to assess whether the numbness and tingling in the left leg are new or a preexisting symptom. This helps identify if there are complications like nerve injury or issues with the surgical site. While documenting the findings is important, it's more critical to compare these new symptoms with preoperative findings to identify potential complications. Drawing blood for serum calcium is not directly relevant to the immediate issue of nerve symptoms after a laminectomy. Telling the client that the symptoms are normal could lead to delayed intervention if there is a more serious issue, like nerve damage or surgical complications.
Question 5 of 5
When the nurse admits a client with anorexia nervosa for treatment, what factors should the therapeutic milieu provide? (SELECT ALL THAT APPLY)
Correct Answer: A,C,E
Rationale: Observation during and after meals is essential to prevent purging behaviors and to ensure the client is eating and not engaging in unhealthy behaviors. Unscheduled weight checks could increase anxiety and are not typically part of a structured treatment approach. Monitoring bathroom trips is important to prevent purging behaviors, such as vomiting, after meals. Meals should be offered on a regular schedule to promote healthy eating habits and avoid the unpredictability that can lead to eating disorder behaviors. Adherence to scheduled meal times helps provide structure and consistency for the client, which is crucial for managing anorexia nervosa.