ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Medical History
Vital Signs
Nurse’s Notes
Physical Examination Results
Diagnostic Results
The client is a 29-year-old female with a recent diagnosis of systemic lupus erythematosus (SLE). She has no prior history of chronic illnesses but has been experiencing progressive fatigue for the past few months, which worsens despite rest. The client was recently started on hydroxychloroquine as part of her treatment plan for SLE. She reports joint tenderness and has been noticing a rash on her face, neck, and scalp. She denies any chest pain, shortness of breath, or gastrointestinal symptoms. The client is aware of the potential complications of SLE, such as renal involvement and photosensitivity, and is being closely monitored by her primary healthcare provider.
A nurse is caring for a 29-year-old female client in a clinic who has been newly diagnosed with systemic lupus erythematosus (SLE). The client has been experiencing symptoms associated with SLE, including a rash and joint pain, and is currently undergoing treatment with hydroxychloroquine. The nurse must evaluate the client's condition based on the exhibits provided to determine appropriate actions and possible complications.
Question 1 of 5
The client is at risk for developing:
Correct Answer: A,B
Rationale: Photosensitivity and chronic fatigue are SLE risks due to rashes and persistent fatigue. Weight loss and hypoglycemia are not typical.
Extract:
Question 2 of 5
A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Calling about unusual bleeding shows understanding, as it may indicate thrombocytopenia. Avoiding crowds prevents infections, not spreading them. Dishwasher cleaning is unnecessary. Antiemetics should be taken before or at nausea onset.
Question 3 of 5
A nurse is teaching a group of middle adult clients about early detection of cancer. The nurse should include the American Cancer Society recommendation that men and women at average risk should have which of the following screening tests?
Correct Answer: D
Rationale: Colorectal cancer screening at age 45 aligns with updated ACS guidelines for average-risk adults. Cervical screening is specific to those with a cervix. Lung screening targets smokers. Age 50 is outdated.
Question 4 of 5
A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After several treatments, the client reports fatigue. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Checking CBC assesses cisplatin-induced anemia causing fatigue. Hepatomegaly , hypersensitivity , and hypercalcemia are less relevant.
Question 5 of 5
A nurse is admitting a child who has a total WBC count of 1200. Which of the following clients should the nurse place in the same room with this child?
Correct Answer: D
Rationale: A child with nephrotic syndrome poses minimal infection risk, suitable for a roommate with low WBC. Rheumatic fever , ruptured appendix , and cystic fibrosis carry higher infection risks.