ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
A nurse is discussing gout with a patient who is concerned about developing the disorder. Which of the following findings should the nurse identify as risk factors for this disease? Select all that applies.
Correct Answer: C,D
Rationale: Cardiovascular disease increases gout risk due to associated conditions like hypertension and kidney disease, which elevate uric acid levels. Diuretic use, especially thiazides, reduces uric acid excretion, leading to hyperuricemia. Depression and sleep deprivation lack consistent evidence as direct risk factors for gout.
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
A nurse on a medical-surgical unit is providing care for a group of clients. Which of the following specimens should the nurse delegate collection of to the assistive personnel (AP)?
Correct Answer: D
Rationale: Random stool collection is non-invasive and suitable for assistive personnel, unlike sterile or invasive procedures requiring nursing skills.
Question 4 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 5 of 5
A nurse is caring for a patient with rheumatoid arthritis. The patient is prescribed hydroxychloroquine to slow the progression of the disease. Which of the following laboratory results should the nurse monitor for this patient?
Correct Answer: A
Rationale: Hydroxychloroquine can cause bone marrow suppression, lowering white blood cell counts, increasing infection risk, necessitating monitoring.