ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: SPF 30 sunblock prevents SLE flares due to photosensitivity. Powder irritates skin. Strong shampoo is irrelevant. Moisturizers are beneficial.
Question 2 of 5
On a hot humid day, a nurse is caring for a client who is confused and presents with these vital signs: temperature 104.1°F (40.1°C), pulse 132 beats/min, respirations 26 breaths/min, and blood pressure 106/66 mmHg. What action would the nurse take to provide immediate appropriate care?
Correct Answer: C
Rationale: IV saline rapidly rehydrates and cools in heatstroke. Oral fluids are insufficient. Acetaminophen does not address hyperthermia. Rest delays critical treatment.
Question 3 of 5
A nurse is caring for an older client on a medical-surgical unit. Which of the following interventions should be included in the plan of care?
Correct Answer: A
Rationale: Monitoring hydration status is critical for older adults to prevent dehydration-related complications. Physical activities may not always be safe. Medication administration is standard, not specific to older adults. Dietary education is secondary to immediate hydration needs.
Question 4 of 5
A nurse is caring for an older adult client who has a WBC count of 2,000/mm³ after three rounds of chemotherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Cooked fruit reduces infection risk in neutropenia. Flower water harbors bacteria. Humidifiers risk mold. Denture cleaning is insufficient alone.
Extract:
History and Physical
Nurse's Notes
Vital Signs
Physical Examination Results
Diagnostic Results
Provider's Prescriptions
The client presents with a history of hypertension and type 2 diabetes mellitus. He was found on the ground near his car after spending several hours in the sun while fixing his vehicle. The client reports feeling dizzy and weak prior to losing consciousness. He states that he did not drink enough fluids during the day. The client denies any chest pain or difficulty breathing. He has not experienced similar symptoms in the past. There is no history of neurological disorders or substance abuse. The client is alert but appears confused and disoriented.
A nurse is caring for a male client, 58 years old, in the emergency department who is suspected of having heatstroke. The primary health care provider has ordered a series of diagnostic tests and interventions. Below are the exhibits to help the nurse assess the client.
Question 5 of 5
The nurse is caring for a male client suspected of having heatstroke. Which findings are consistent with this diagnosis?
Correct Answer: A,C
Rationale: Tachycardia and hot, dry skin are heatstroke signs. Hallucinations are not typical. Bradycardia contradicts the observed tachycardia.