ATI RN
ATI RN MS2 Fall 2023 Quiz 4 HR Med Surg 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: B
Rationale: Pitting edema may indicate kidney involvement in SLE, a serious complication requiring urgent attention. Rash, joint pain, and depression are less immediate concerns.
Question 2 of 5
A nurse is preparing dietary instructions for a client who has cholecystitis from chronic cholelithiasis. Which diet is most important to include in the patient teaching?
Correct Answer: C
Rationale: A high protein, low-fat diet supports healing and avoids gallbladder stimulation. High sugar or high-fat diets can worsen symptoms, and high-carb diets are not specific to cholecystitis.
Question 3 of 5
The patient is a 74-year-old female with generalized fatigue. During a follow-up visit, the client diagnosed with fibromyalgia is concerned about always feeling tired. Which response should the nurse make to this client?
Correct Answer: D
Rationale: Fibromyalgia is commonly associated with sleep disturbances like insomnia, which can cause fatigue. The other responses lack evidence or relevance to fibromyalgia.
Question 4 of 5
The nurse is assessing a client with osteoarthritis (OA) of the elbows and fingers. Which of the following clinical manifestations should the nurse expect to find?
Correct Answer: B
Rationale: Heberden and Bouchard nodes are characteristic of osteoarthritis. Swan neck and boutonniere deformities are associated with rheumatoid arthritis, and joint swelling is less common in OA.
Question 5 of 5
A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Heat or ice can alleviate osteoarthritis discomfort. Pillows under knees may increase stiffness, ibuprofen is not always the first step, and limiting activity can worsen joint function.