ATI RN
ATI RN Custom Nursing 221 Exam 4 Questions
Extract:
Question 1 of 5
A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis. Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?
Correct Answer: A
Rationale: Dysmenorrhea unresponsive to NSAIDs is a hallmark of endometriosis.
Question 2 of 5
A nurse is caring for a client who is scheduled to have a magnetic resonance imaging (MRI) scan. The client asks the nurse what to expect during the procedure. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: MRI scans are noisy, and earplugs are offered to reduce discomfort.
Question 3 of 5
A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident (CVA). Which of the following parameters should the nurse use first in order to assess the client's pain level?
Correct Answer: A
Rationale: Behavioral indicators are the most reliable way to assess pain in a client with expressive aphasia as they may not be able to verbally communicate their pain.
Question 4 of 5
A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F). Which of the following neurologic disorders should the nurse suspect?
Correct Answer: A
Rationale: Sudden headache, vomiting, and high blood pressure suggest hemorrhagic stroke.
Question 5 of 5
A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
Correct Answer: D
Rationale: A CD4-T-cell count of 180 cells/mm³ indicates severe immune system damage, making it the priority.