ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a group of patients on a medical surgical unit. Which of the following patients is at most risk for developing gout?
Correct Answer: A
Rationale: The document's rationale is incorrect. Anorexia nervosa leads to malnutrition, which may reduce purine intake, lowering gout risk. However, severe malnutrition can cause metabolic stress and hyperuricemia. The other options (low-purine diet, vegetarian child, ulcerative colitis) have lower or no gout risk, making the anorexia patient relatively higher risk.
Question 2 of 5
Which of the following is the most reliable early indicator of infection in a client with low WBC?
Correct Answer: A
Rationale: Fever is a direct immune response to pathogens, making it the most reliable early infection indicator in clients with low white blood cell counts.
Question 3 of 5
A nurse is completing discharge instructions with a client following an acute onset of gout. Which of the following client statements indicates an understanding of the treatment regimen?
Correct Answer: C
Rationale: Limiting alcohol intake reduces uric acid production and gout attack triggers. High-purine diets and aspirin can worsen gout, and adequate hydration (not fluid restriction) is recommended.
Question 4 of 5
A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Monitoring for muscle pain is critical, as colchicine can cause rhabdomyolysis, a serious condition requiring prompt reporting.
Question 5 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.