Questions 40

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ATI RN Test Bank

ATI Med Surg RN 221A Exam Questions

Extract:


Question 1 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.

Question 2 of 5

A nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first?

Correct Answer: B

Rationale: Determining the pain's location is the first step to assess its cause, characteristics, and appropriate treatment, ensuring safe and effective pain management.

Question 3 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.

Question 4 of 5

What intervention should the nurse identify as a priority for a client with a nursing diagnosis of ineffective airway clearance related to HIV-related pneumonia?

Correct Answer: A

Rationale: Coughing, deep breathing, and hydration directly clear airway secretions in pneumonia, making them the priority intervention.

Question 5 of 5

A client comes to the clinic with a complaint of pain in the right great toe and is eventually diagnosed with gout. When planning teaching for this client, what management technique should the nurse emphasize?

Correct Answer: C

Rationale: Restricting high-purine foods reduces uric acid production, a key strategy to prevent gout attacks.

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