ATI RN
ATI RN MS2 Fall 2023 Quiz 4 HR Med Surg Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is post-op day 1 from a laparoscopic cholecystectomy. Which task should the nurse delegate to the unlicensed assistive personnel?
Correct Answer: D
Rationale: Assisting the client to the bathroom is within the scope of unlicensed assistive personnel. Reassessing the incision, increasing IV fluids, and administering medication require clinical judgment and are tasks for licensed nurses.
Question 2 of 5
The nurse is preparing discharge teaching for a client who has been recently diagnosed with Rheumatoid arthritis. Which of the statements made by the client would indicate the need for further teaching?
Correct Answer: C
Rationale: Carrying a laundry basket with the fingertips places undue strain on finger joints, worsening RA symptoms. The other statements reflect proper joint protection techniques.
Question 3 of 5
A nurse is caring for a female client with rheumatoid arthritis, the client asks the nurse if it is safe to take aspirin. The nurse should recognize which of the following contraindications is of most concern?
Correct Answer: D
Rationale: Bloody stools may indicate gastrointestinal bleeding, which aspirin can exacerbate due to its anticoagulant properties. The other options are not contraindications for aspirin use.
Question 4 of 5
A nurse is teaching a client who has a new prescription of allopurinol for the treatment of Gout. Which of the following is most important to include in the client teaching?
Correct Answer: D
Rationale: Adequate fluid intake prevents kidney stone formation, a potential side effect of allopurinol. The medication does not require an empty stomach, should not be crushed, and aspirin may increase bleeding risk.
Question 5 of 5
A client with Systemic lupus erythematosus (SLE) has been admitted into the Med-surgical unit. The nurse should recognize which of the following manifestations associated with lupus?
Correct Answer: C,D,E
Rationale: Butterfly rash, Raynaud's phenomenon, and photosensitive skin are common SLE manifestations.
Tophi are associated with gout, and Heberden's nodes with osteoarthritis.