ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse is performing discharge teaching for a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: SLE patients are often photosensitive and need to protect their skin from UV rays.
Question 2 of 5
A nurse is caring for a client who recently had surgery for the insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?
Correct Answer: C
Rationale: An MRI of the chest should be clarified with the healthcare provider because MRI can interfere with pacemaker function. Patients with pacemakers are generally advised to avoid MRI unless the pacemaker is incompatible, due to the risk of the magnetic field affecting the device's operation.
Question 3 of 5
A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?
Correct Answer: C
Rationale: Gallstones are a common cause of acute pancreatitis, blocking the bile duct and leading to inflammation.
Question 4 of 5
A nurse is assessing a client who has a herniated cervical intervertebral disc. Which of the following findings should the nurse expect? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Tingling in the arms, shoulder pain, muscle spasms, and stiff neck are expected due to nerve compression and inflammation from a herniated cervical disc.
Question 5 of 5
George, an 85yearold man with a history of chronic obstructive pulmonary disease, was rushed to the emergency department with increasing shortness of breath, restlessness, and difficulty communicating due to his inability to complete a sentence. On assessment, tachycardia and a bounding pulse were noted. Wheezes could be heard in the lower lobes. His blood gas shows a pH of 7.3, PaCO2 of 68 mmHg, HCO3 of 28 mmol/L, and PaO2 of 60 mmHg. How would you interpret this?
Correct Answer: C
Rationale: George's high PaCO2 and near normal HCO3 suggest respiratory acidosis, with partial compensation by retaining HCO3.