ATI RN
ATI RN MS2 Fall 2023 Quiz 4 HR Med Surg Questions
Extract:
Question 1 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, affecting the same joints on both sides of the body. Rest does not typically relieve RA pain, unlike osteoarthritis. Bouchard's nodes are associated with osteoarthritis, and RA pain is not unilateral or limited to weight-bearing joints.
Question 2 of 5
A nurse is teaching a client who has a new prescription of allopurinol for the treatment of Gout. Which of the following is most important to include in the client teaching?
Correct Answer: D
Rationale: Adequate fluid intake prevents kidney stone formation, a potential side effect of allopurinol. The medication does not require an empty stomach, should not be crushed, and aspirin may increase bleeding risk.
Question 3 of 5
A client with Systemic lupus erythematosus (SLE) has been admitted into the Med-surgical unit. The nurse should recognize which of the following manifestations associated with lupus?
Correct Answer: C,D,E
Rationale: Butterfly rash, Raynaud's phenomenon, and photosensitive skin are common SLE manifestations.
Tophi are associated with gout, and Heberden's nodes with osteoarthritis.
Question 4 of 5
A client with a diagnosis of hypotension has been ordered a normal saline bolus 250 ml IV to infuse over 15 minutes. How many ml/hr should you administer?
Correct Answer: 1000 mL/hr
Rationale:
To calculate: 15 min = 0.25 hr; 250 mL ÷ 0.25 hr = 1000 mL/hr.
Question 5 of 5
A nurse in a clinic is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE). Based on the client's prescribed medications, the nurse should assess the client for developing?
Correct Answer: C,D
Rationale: Prednisone can cause weight gain due to increased appetite and fluid retention, and hyperglycemia by raising blood sugar levels. Hypoglycemia and weight loss are less likely.