ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Medical History
Vital Signs
Nurse’s Notes
Physical Examination Results
Diagnostic Results
The client is a 29-year-old female with a recent diagnosis of systemic lupus erythematosus (SLE). She has no prior history of chronic illnesses but has been experiencing progressive fatigue for the past few months, which worsens despite rest. The client was recently started on hydroxychloroquine as part of her treatment plan for SLE. She reports joint tenderness and has been noticing a rash on her face, neck, and scalp. She denies any chest pain, shortness of breath, or gastrointestinal symptoms. The client is aware of the potential complications of SLE, such as renal involvement and photosensitivity, and is being closely monitored by her primary healthcare provider.
A nurse is caring for a 29-year-old female client in a clinic who has been newly diagnosed with systemic lupus erythematosus (SLE). The client has been experiencing symptoms associated with SLE, including a rash and joint pain, and is currently undergoing treatment with hydroxychloroquine. The nurse must evaluate the client's condition based on the exhibits provided to determine appropriate actions and possible complications.
Question 1 of 5
The client is at risk for developing:
Correct Answer: A,B
Rationale: Photosensitivity and chronic fatigue are SLE risks due to rashes and persistent fatigue. Weight loss and hypoglycemia are not typical.
Extract:
Question 2 of 5
The home health nurse in Wyoming gives instruction to an 80-year-old patient in the prevention of hypothermia. Which information should the nurse include?
Correct Answer: A,B,C,D
Rationale: All options prevent hypothermia: layers trap heat, warm fluids maintain temperature, gloves/earmuffs protect extremities, and a hat reduces head heat loss.
Question 3 of 5
A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A WBC count of 2300/mm³ indicates neutropenia, a critical chemotherapy side effect requiring immediate reporting. RBC , hemoglobin , and platelets are within normal ranges.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE) and asks where this disease originates within the body. The nurse should tell the client that SLE originates in which of the following locations in the body?
Correct Answer: C
Rationale: SLE originates in connective tissue , causing inflammation. It does not primarily arise from vascular , muscle , or lymphatic systems.
Question 5 of 5
A nurse is preparing a presentation at a community center about systemic lupus erythematosus (SLE). The nurse should plan to include which of the following findings as a manifestation of SLE?
Correct Answer: A
Rationale: A butterfly rash is a classic SLE manifestation. Hypothermia , weight gain , and hyperreflexia are not typical.