ATI Custom MS Nurse | Nurselytic

Questions 47

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ATI Custom MS Nurse Questions

Extract:

Client with an exacerbation of gout


Question 1 of 5

A nurse is collecting data from a client who has an exacerbation of gout. Which of the following findings should the nurse expect?

Correct Answer: B,C,E

Rationale: A nurse collecting data from a client who has an exacerbation of gout should expect to find edema, tophi, and erythema. Gout is a type of arthritis that occurs when urate crystals accumulate in the joints, causing inflammation and intense pain.

Extract:

Older adult at risk for falls


Question 2 of 5

A nurse is assisting with the development of a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse contribute to the plan?

Correct Answer: C,D,E

Rationale: Keeping a night light on in the client's room and bathroom can help reduce the risk of falls by improving visibility. Placing the bedside table within the client's reach can help reduce the risk of falls by making it easier for the client to access necessary items. Locking the wheels on beds and wheelchairs during transfers can help reduce the risk of falls by providing stability.

Extract:

Client with epilepsy experiencing a tonic-clonic seizure


Question 3 of 5

A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy. The client begins to experience a tonic-clonic seizure. Identify the sequence of steps the nurse should follow.

Order the Items

Source Container

Remain with the client and call for help.
Place the client in the lateral position
Check the client for injuries.
Reorient and reassure the client.

Correct Answer: A,B,D,C

Rationale: The correct sequence of steps is: remain with the client and call for help, place the client in the lateral position, check the client for injuries, and reorient and reassure the client. This ensures safety, airway protection, and post-seizure care.

Extract:

Client with a cast on right leg


Question 4 of 5

While collecting data from a client who has a cast on his right leg, a nurse locates an area on the cast that feels warm to the touch. Which of the following findings should the nurse identify as a complication to the client's condition?

Correct Answer: B

Rationale: The nurse should identify infection as a complication to the client's condition. A warm area on the cast could indicate the presence of an underlying infection. The warmth could be due to an increase in blood flow to the area as the body tries to fight off the infection.

Extract:

Client with rheumatoid arthritis


Question 5 of 5

A nurse is collecting data from a client who has rheumatoid arthritis. Which of the following is an expected finding for this client?

Correct Answer: B

Rationale: Boutonniere deformity is an expected finding for a client who has rheumatoid arthritis. It is a type of hand deformity that can occur in people with rheumatoid arthritis. It is characterized by a bent middle finger joint and a hyperextended fingertip.

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