ATI RN
ATI Nurs 201 Med Surg Quiz Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings is the highest priority for the nurse to report to the provider?
Correct Answer: A
Rationale: Pitting edema in the ankles and feet could indicate kidney involvement, which is a serious complication of SLE. Kidney issues, such as lupus nephritis, require immediate attention to prevent further complications.
Question 2 of 5
A nurse is caring for a client who has been recently diagnosed with rheumatoid arthritis (RA). Which assessment finding does the nurse expect to assess?
Correct Answer: B
Rationale: Symmetrical joint pain is a hallmark of RA, where both sides of the body are affected similarly. Unilateral pain, rest-relieved pain, and Bouchard's nodes are more typical of osteoarthritis.
Question 3 of 5
The charge nurse is planning the client assignments for the day. Which of the following is an appropriate assignment for the newly graduated registered nurse?
Correct Answer: B
Rationale: A 42-year-old male with dark stools and the need for dietary teaching is a stable assignment, making it suitable for a newly graduated nurse.
Extract:
Physical Examination
Diagnostic Results
Client's first visit:
Client presents with rash and cutaneous plaques on scalp, face, and neck, areas of hyperpigmentation also noted. Butterfly rash present on cheeks. Client reports progressive fatigue, despite increasing rest periods. Client reports joint tenderness. +1 edema noted.
Client denies chest pain or discomfort. 51 52 noted on auscultation. No pericardial friction rub or murmurs noted.
Chest clear on auscultation. Client denies shortness of breath, cough, or congestion.
Bowel sounds present in all four quadrants. Denies any gastrointestinal issues.
Reports urinating with no difficulty.
Weight 185
A nurse in a clinic is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE)
Question 4 of 5
Based on the clients prescribed medications, the nurse should assess the client for developing
Correct Answer: A,C
Rationale: In clients with systemic lupus erythematosus (SLE), medications such as prednisone (a corticosteroid) are often prescribed to manage inflammation. Corticosteroids like prednisone can cause weight gain and hyperglycemia as common side effects due to fluid retention, increased appetite, and a rise in blood sugar levels.
Extract:
Question 5 of 5
The nurse is preparing discharge teaching for a client who has been recently diagnosed with Rheumatoid arthritis. Which of the statements made by the client would indicate the need for further teaching?
Correct Answer: A
Rationale: Carrying a laundry basket with the tip of the fingers puts unnecessary strain on the joints, which is not recommended for clients with rheumatoid arthritis. The client should use their whole hand to avoid stressing the fingers.