ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
A client who abused intravenous drugs was diagnosed with the human Immunodeficiency virus (HIV) several years ago. The nurse explains that the diagnostic criterion for acquired immunodeficiency syndrome (AIDS) has been met when the client:
Correct Answer: B
Rationale: A CD4+ T cell count below 200 cells/mm defines AIDS, indicating severe immune suppression and susceptibility to opportunistic infections.
Question 2 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: Phenytoin is typically long-term, and stopping it abruptly risks seizures. The client's statement suggests a misunderstanding requiring further teaching.
Question 3 of 5
The nurse is caring for a group of patients on a medical surgical unit. Which of the following patients is at most risk for developing gout?
Correct Answer: A
Rationale: The document's rationale is incorrect. Anorexia nervosa leads to malnutrition, which may reduce purine intake, lowering gout risk. However, severe malnutrition can cause metabolic stress and hyperuricemia. The other options (low-purine diet, vegetarian child, ulcerative colitis) have lower or no gout risk, making the anorexia patient relatively higher risk.
Question 4 of 5
A client has a prescription for seizure precaution. Which intervention should the nurse include in the plan of care?
Correct Answer: B
Rationale: Keeping seizure medication at the bedside ensures immediate access to control seizures, a critical precaution for safety.
Question 5 of 5
A clinic nurse is performing a physical assessment on a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: A malar (butterfly) rash across the nose and cheeks is a classic SLE sign, caused by skin vessel inflammation, often worsened by sun exposure.