ATI RN
ATI Nurs 201 Med Surg Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for a female client with rheumatoid arthritis, the client ask the nurse if it is safe to take aspirin. The nurse should recognize which of the following contraindications is of most concern?
Correct Answer: B
Rationale: A report of bloody stools is the most concerning contraindication for aspirin use because aspirin is a nonsteroidal anti-inflammatory drug (NSAI
D) that can increase the risk of gastrointestinal bleeding, which could be worsened by the presence of bloody stools.
Question 2 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? (Select All that Apply.)
Correct Answer: B,C,E
Rationale: Photosensitivity, butterfly rash, and Raynaud's phenomenon are common in SLE. Heberden's nodes are linked to osteoarthritis, and tophi are associated with gout.
Question 3 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 is recommended for clients with cholecystitis, as it helps reduce the workload on the gallbladder and can alleviate symptoms.
Extract:
Medications
Methotrexate
Prednisone
Ibuprofen
Famotidine
A nurse is caring for a client with rheumatoid arthritis. The nurse reviews the client's medications upon arrival to shift.
Question 4 of 5
What laboratory order does the nurse anticipates based on the list of medications in the client's profile.
Correct Answer: B
Rationale: The client is taking methotrexate and prednisone, both of which can affect liver function. Methotrexate, an immunosuppressive medication, can cause hepatotoxicity, and prednisone, a corticosteroid, can lead to elevated liver enzymes.
Therefore, the nurse should anticipate an order for liver function tests (LFTs) to monitor for any potential liver damage.
Extract:
Question 5 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.