ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
A nurse is completing discharge instructions with a client following an acute onset of gout. Which of the following client statements indicates an understanding of the treatment regimen?
Correct Answer: C
Rationale: Limiting alcohol intake reduces uric acid production and gout attack triggers. High-purine diets and aspirin can worsen gout, and adequate hydration (not fluid restriction) is recommended.
Question 2 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.
Question 3 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.
Question 4 of 5
The nurse is caring for a group of patients on a medical surgical unit. Which of the following patients is at most risk for developing gout?
Correct Answer: A
Rationale: The document's rationale is incorrect. Anorexia nervosa leads to malnutrition, which may reduce purine intake, lowering gout risk. However, severe malnutrition can cause metabolic stress and hyperuricemia. The other options (low-purine diet, vegetarian child, ulcerative colitis) have lower or no gout risk, making the anorexia patient relatively higher risk.
Question 5 of 5
A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Monitoring for muscle pain is critical, as colchicine can cause rhabdomyolysis, a serious condition requiring prompt reporting.