ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse is reviewing discharge instructions with a client who has Raynaud's disease. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: Stress management classes can teach techniques to control stress, which is beneficial for clients with Raynaud's disease as stress can trigger episodes.
Question 2 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 3 of 5
A nurse is planning care for a client who is to receive packed RBCs. The nurse should plan for the total infusion time to not exceed which of the following?
Correct Answer: D
Rationale: The standard practice is to complete the transfusion of packed RBCs within 4 hours to minimize the risk of bacterial growth and transfusion reactions.
Question 4 of 5
A nurse is assessing a client who is admitted with hyperthyroidism. The client reports a weight loss of 5.4 kg (12 lbs.) in the last 2 months, increased appetite, increased perspiration, fatigue, menstrual irregularity, and restlessness. Which of the following actions should the nurse take to prevent a thyroid crisis?
Correct Answer: C
Rationale: Providing a quiet, low-stimulus environment reduces stress and agitation, potential triggers for a thyroid crisis.
Question 5 of 5
A nurse is assessing a client who has a suspected diagnosis of Guillain-Barre syndrome (GBS). Which of the following questions should the nurse ask the client?
Correct Answer: B
Rationale: A recent influenza infection is relevant because GBS is often preceded by an infection, such as a respiratory or gastrointestinal viral infection. The immune system's response to this infection may mistakenly attack peripheral nerves, leading to GBS.