ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
A client with a history of seizures is being admitted to the emergency room after experiencing a partial seizure. Which question would be most appropriate for the nurse to ask the client?
Correct Answer: C
Rationale: Asking about the last dose of seizure medication identifies potential non-adherence, a common cause of breakthrough seizures.
Question 2 of 5
A nurse is caring for a patient who has rheumatoid arthritis. Which of the following laboratory tests are used to diagnose the disease? (Select all that apply)
Correct Answer: A,D,E
Rationale: ANA titer, ESR, and WBC count support rheumatoid arthritis diagnosis by indicating autoimmunity and inflammation, while BUN and urinalysis are not specific to it.
Question 3 of 5
A nurse is calculating the output of a client at the end of the shift. The nurse notes the following: the client voided 400 mL at 1100 and 350 mL at 1430. The closed chest drainage system was previously marked at 155 mL and is now at 175 mL. The NG tube has 575 mL in the drainage container, and 25 mL is emptied out of the Jackson-Pratt drainage tube. How many mL should the nurse record in the medical record as the client's output?
Correct Answer: 1370 mL
Rationale:
Total output is calculated as: 400 mL (urine) + 350 mL (urine) + 20 mL (chest drainage) + 575 mL (NG tube) + 25 mL (Jackson-Pratt) = 1370 mL.
Question 4 of 5
A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Placing the client on their side during a seizure protects the airway and prevents aspiration, ensuring safety.
Question 5 of 5
The client tells the nurse, 'I am about to have a seizure.' Which of the actions should the nurse implement? (Select all that apply)
Correct Answer: A,B,E
Rationale: Loosening clothing aids breathing, easing to the floor prevents falls, and providing privacy protects dignity. Restraining or using a tongue blade can cause harm and is not recommended.