ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a patient who has rheumatoid arthritis. Which of the following laboratory tests are used to diagnose the disease? (Select all that apply)
Correct Answer: A,D,E
Rationale: ANA titer, ESR, and WBC count support rheumatoid arthritis diagnosis by indicating autoimmunity and inflammation, while BUN and urinalysis are not specific to it.
Question 2 of 5
A client with a history of seizures is being admitted to the emergency room after experiencing a partial seizure. Which question would be most appropriate for the nurse to ask the client?
Correct Answer: C
Rationale: Asking about the last dose of seizure medication identifies potential non-adherence, a common cause of breakthrough seizures.
Question 3 of 5
A nurse is completing a focused assessment addressing a client's immune function. What should the nurse prioritize in the physical assessment?
Correct Answer: A
Rationale: Palpating lymph nodes assesses immune function, as swelling or tenderness indicates active immune response to pathogens.
Question 4 of 5
A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Turning the head to the side protects the airway by preventing aspiration during a tonic-clonic seizure, making it the priority action.
Question 5 of 5
A nurse is completing discharge teaching to a patient who has seizures and received a vagal nerve stimulator to decrease seizure activity. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Placing a magnet over the vagal nerve stimulator during an aura can deliver extra stimulation to interrupt or shorten a seizure, empowering the patient in seizure management.