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ATI Med Surg RN 221A Exam Questions

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Question 1 of 5

A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the following values should give the nurse the best indication of the client's renal function?

Correct Answer: A

Rationale: Serum creatinine is a sensitive and specific marker of renal function, as impaired kidneys lead to elevated levels, making it the best indicator for SLE-related renal issues.

Question 2 of 5

A nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first?

Correct Answer: B

Rationale: Determining the pain's location is the first step to assess its cause, characteristics, and appropriate treatment, ensuring safe and effective pain management.

Question 3 of 5

The nurse is planning education for a patient diagnosed with fibromyalgia. Which risk factors should the nurse include in the teaching plan? (Select all that apply)

Correct Answer: A,D,E

Rationale: Rheumatologic conditions, deep sleep deprivation, and physical/emotional trauma are linked to fibromyalgia due to immune dysregulation, pain sensitivity, and stress-related changes. Nutritional deficiencies and bone injuries lack strong evidence as direct risk factors.

Question 4 of 5

Phenytoin (Dilantin) suspension 200 mg is prescribed for a client with epilepsy. The suspension contains 125 mg/5 ml. How much solution should the nurse administer? Record your answer using a whole number.

Correct Answer: 8 mL

Rationale: The document's explanation is incorrect.
To find the volume: (200 mg / 125 mg) * 5 mL = 8 mL. The suspension is 125 mg per 5 mL, so 200 mg requires 8 mL. The explanation's calculation (200 / 125 = 1.6 mL) and subsequent rounding to 8 mL are inconsistent with the proportion method and clinical practice. The correct volume, based on the proportion, is exactly 8 mL, which aligns with the answer provided.

Question 5 of 5

The client tells the nurse, 'I am about to have a seizure.' Which of the actions should the nurse implement? (Select all that apply)

Correct Answer: A,B,E

Rationale: Loosening clothing aids breathing, easing to the floor prevents falls, and providing privacy protects dignity. Restraining or using a tongue blade can cause harm and is not recommended.

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