ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?
Correct Answer: C
Rationale: Antibiotics, like fluoroquinolones, can interact with naproxen, increasing risks like tendonitis. This warrants discussion to ensure safety.
Question 2 of 5
Which of the following is the most reliable early indicator of infection in a client with low WBC?
Correct Answer: A
Rationale: Fever is a direct immune response to pathogens, making it the most reliable early infection indicator in clients with low white blood cell counts.
Question 3 of 5
A clinic nurse is performing a physical assessment on a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: A malar (butterfly) rash across the nose and cheeks is a classic SLE sign, caused by skin vessel inflammation, often worsened by sun exposure.
Question 4 of 5
A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Phenytoin is typically long-term, and stopping it abruptly risks seizures. The client's statement suggests a misunderstanding requiring further teaching.
Question 5 of 5
Phenytoin (Dilantin) suspension 200 mg is prescribed for a client with epilepsy. The suspension contains 125 mg/5 ml. How much solution should the nurse administer? Record your answer using a whole number.
Correct Answer: 8 mL
Rationale: The document's explanation is incorrect.
To find the volume: (200 mg / 125 mg) * 5 mL = 8 mL. The suspension is 125 mg per 5 mL, so 200 mg requires 8 mL. The explanation's calculation (200 / 125 = 1.6 mL) and subsequent rounding to 8 mL are inconsistent with the proportion method and clinical practice. The correct volume, based on the proportion, is exactly 8 mL, which aligns with the answer provided.