ATI RN
ATI RN MS2 Fall 2023 Quiz 4 HR Med Surg Questions
Extract:
Question 1 of 5
A nurse is caring for a female client with rheumatoid arthritis, the client asks the nurse if it is safe to take aspirin. The nurse should recognize which of the following contraindications is of most concern?
Correct Answer: D
Rationale: Bloody stools may indicate gastrointestinal bleeding, which aspirin can exacerbate due to its anticoagulant properties. The other options are not contraindications for aspirin use.
Question 2 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 3 of 5
A nurse working in the Med-surgical unit is caring for a client with choliathiasis. Which of the following risk factors are most associated with choliathiasis?
Correct Answer: B,C,E
Rationale: Being female, obesity, and estrogen therapy increase the risk of cholelithiasis. An active lifestyle and low-fat diet are not risk factors.
Question 4 of 5
A client with systemic lupus has been ordered hydroxychloroquine. Which of the following adverse effects is of most concern?
Correct Answer: D
Rationale: Blurry vision may indicate retinal damage, a serious hydroxychloroquine side effect requiring immediate attention. Nausea, pruritus, and diarrhea are less concerning.
Question 5 of 5
The nurse is caring for a client who is post-op day 1 from a laparoscopic cholecystectomy. Which task should the nurse delegate to the unlicensed assistive personnel?
Correct Answer: D
Rationale: Assisting the client to the bathroom is within the scope of unlicensed assistive personnel. Reassessing the incision, increasing IV fluids, and administering medication require clinical judgment and are tasks for licensed nurses.