ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
A nurse is presenting a community-based program about HIV and AIDS. A client asks the nurse to describe the initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include in the explanation of initial symptoms?
Correct Answer: A
Rationale: Flu-like symptoms and night sweats occur early in HIV infection (2-4 weeks post-exposure), reflecting the immune response to the virus.
Question 2 of 5
A client who abused intravenous drugs was diagnosed with the human Immunodeficiency virus (HIV) several years ago. The nurse explains that the diagnostic criterion for acquired immunodeficiency syndrome (AIDS) has been met when the client:
Correct Answer: B
Rationale: A CD4+ T cell count below 200 cells/mm defines AIDS, indicating severe immune suppression and susceptibility to opportunistic infections.
Question 3 of 5
A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has a staphylococcal infection. Available is clindamycin 900 mg in 50 mL. How many mL/hr should the nurse set the IV pump to? (Round to the nearest whole number, use a leading zero if it applies, do not use a trailing zero)
Correct Answer: 33
Rationale: For 300 mg from 900 mg in 50 mL, calculate: (300/900) * 50 = 16.67 mL over 30 min. Flow rate: 16.67 mL / (30/60 hr) = 33.33 mL/hr, rounded to 033 mL/hr.
Question 4 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 5 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.