ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a 28-year-old client with HIV who has been admitted with pneumonia. Which of the following observations should the nurse prioritize?
Correct Answer: A
Rationale: Tachypnea and restlessness indicate respiratory distress in pneumonia, requiring immediate attention to ensure oxygenation.
Question 2 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 3 of 5
A nurse is providing teaching to a client who has a new diagnosis of fibromyalgia. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Low-impact aerobics reduce pain and improve function in fibromyalgia, indicating the client's understanding of effective non-pharmacological management.
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
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.