ATI RN
ATI Nurs 201 Med Surg Quiz Questions
Extract:
Physical Examination
Diagnostic Results
Client's first visit:
Client presents with rash and cutaneous plaques on scalp, face, and neck, areas of hyperpigmentation also noted. Butterfly rash present on cheeks. Client reports progressive fatigue, despite increasing rest periods. Client reports joint tenderness. +1 edema noted.
Client denies chest pain or discomfort. 51 52 noted on auscultation. No pericardial friction rub or murmurs noted.
Chest clear on auscultation. Client denies shortness of breath, cough, or congestion.
Bowel sounds present in all four quadrants. Denies any gastrointestinal issues.
Reports urinating with no difficulty.
Weight 185
A nurse in a clinic is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE)
Question 1 of 5
Based on the clients prescribed medications, the nurse should assess the client for developing
Correct Answer: A,C
Rationale: In clients with systemic lupus erythematosus (SLE), medications such as prednisone (a corticosteroid) are often prescribed to manage inflammation. Corticosteroids like prednisone can cause weight gain and hyperglycemia as common side effects due to fluid retention, increased appetite, and a rise in blood sugar levels.
Extract:
Question 2 of 5
After a cholecystectomy the client might experience discomfort due to CO2 used during surgery. Which intervention will help the client ease the discomfort?
Correct Answer: B
Rationale: Placing the client in the right lateral position helps alleviate discomfort caused by CO2 retention after surgery, as it facilitates the release of trapped gas from the abdomen.
Question 3 of 5
After a cholecystectomy the client might experience discomfort due to CO2 used during surgery. Which intervention will help the client ease the discomfort?
Correct Answer: B
Rationale: Placing the client in the right lateral position helps alleviate discomfort caused by CO2 retention after surgery, as it facilitates the release of trapped gas from the abdomen.
Question 4 of 5
A nurse is caring for a female client with rheumatoid arthritis, the client ask the nurse if it is safe to take aspirin. The nurse should recognize which of the following contraindications is of most concern?
Correct Answer: B
Rationale: A report of bloody stools is the most concerning contraindication for aspirin use because aspirin is a nonsteroidal anti-inflammatory drug (NSAI
D) that can increase the risk of gastrointestinal bleeding, which could be worsened by the presence of bloody stools.
Question 5 of 5
A nurse is providing education to a client who has a new prescription of allopurinol for the treatment of Gout. Which of the following is most important to include in the client teaching?
Correct Answer: A
Rationale: It is essential to drink plenty of fluids while taking allopurinol to prevent kidney stones, which can occur with increased uric acid excretion.