ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4 T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?
Correct Answer: A
Rationale: A low CD4 count in AIDS increases susceptibility to opportunistic infections like candidiasis, a fungal infection causing oral thrush, due to a weakened immune system.
Question 4 of 5
A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the following values should give the nurse the best indication of the client's renal function?
Correct Answer: A
Rationale: Serum creatinine is a sensitive and specific marker of renal function, as impaired kidneys lead to elevated levels, making it the best indicator for SLE-related renal issues.
Question 5 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.