ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is preparing a presentation at a community center about systemic lupus erythematosus (SLE). The nurse should plan to include which of the following findings as a manifestation of SLE?
Correct Answer: A
Rationale: A butterfly rash is a classic SLE manifestation. Hypothermia , weight gain , and hyperreflexia are not typical.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE) and asks where this disease originates within the body. The nurse should tell the client that SLE originates in which of the following locations in the body?
Correct Answer: C
Rationale: SLE originates in connective tissue , causing inflammation. It does not primarily arise from vascular , muscle , or lymphatic systems.
Question 3 of 5
A nurse is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should the nurse include in the teaching?
Correct Answer: B
Rationale: Restricting sodium manages hypertension and fluid retention in Cushing's. High carbs worsen hyperglycemia. Potassium is needed. Protein supports muscle.
Question 4 of 5
A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Teaching about cortisol replacement is essential for Addison's management. Fluid volume excess is unlikely; deficit is more common. High-sodium diets are needed. Hypoglycemia, not hyperglycemia , is typical.
Extract:
History and Physical
Vital Signs
Nurse’s Notes
Diagnostic Results
The client is a 63-year-old female with a history of Stage III colorectal cancer, for which she is receiving chemotherapy and radiation. The client denies any significant past medical history except for her cancer diagnosis. She reports that the excessive fatigue started 6 months ago and has become so intense that she is unable to perform her usual activities without needing to rest. She also mentions that she has been experiencing recurring headaches and unexplained bruising. The client has not been taking any prescribed medications but has been using ibuprofen frequently over the past 6 months for pain and joint swelling.
A nurse is caring for a 63-year-old female client in the emergency department (ED) with a history of colorectal cancer. The client is receiving chemotherapy and radiation. She presents with complaints of fatigue, unexplained bruising, and recurring headaches. The nurse must evaluate the situation based on the exhibits provided to determine the client’s risk factors and findings.
Question 5 of 5
The client is at risk for developing due to their
Correct Answer: A,F
Rationale: Low platelets increase DIC risk in cancer. Normal potassium , sodium , and oxygen rule out hyperkalemia, hyponatremia, and pneumonia. Normal creatinine makes nephritic syndrome unlikely.