ATI RN
ATI Nurs 201 Med Surg Quiz Questions
Question 1 of 5
A nurse is caring for a client who has been recently diagnosed with rheumatoid arthritis (RA). Which assessment finding does the nurse expect to assess?
Correct Answer: B
Rationale: Symmetrical joint pain is a hallmark of RA, where both sides of the body are affected similarly. Unilateral pain, rest-relieved pain, and Bouchard's nodes are more typical of osteoarthritis.
Question 2 of 5
A nurse is preparing dietary instructions for a client who has cholecystitis from chronic cholelithiasis. Which diet is most important to include in the patient teaching?
Correct Answer: C
Rationale: A high-protein, low-fat diet is recommended for clients with cholecystitis, as it helps reduce the workload on the gallbladder and can alleviate symptoms.
Question 3 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.
Question 4 of 5
The nurse is assessing a client with osteoarthritis (OA) of the elbow's and fingers. Which of the following clinical manifestations should the nurse expect to find?
Correct Answer: C
Rationale: Heberden and Bouchard nodes are characteristic findings in osteoarthritis. Heberden's nodes occur at the distal interphalangeal (DIP) joints, and Bouchard's nodes occur at the proximal interphalangeal (PIP) joints.
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 5 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.