ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
History and Physical
Nurse's Notes
Vital Signs
Physical Examination Results
Diagnostic Results
Provider's Prescriptions
The client presents with a history of hypertension and type 2 diabetes mellitus. He was found on the ground near his car after spending several hours in the sun while fixing his vehicle. The client reports feeling dizzy and weak prior to losing consciousness. He states that he did not drink enough fluids during the day. The client denies any chest pain or difficulty breathing. He has not experienced similar symptoms in the past. There is no history of neurological disorders or substance abuse. The client is alert but appears confused and disoriented.
A nurse is caring for a male client, 58 years old, in the emergency department who is suspected of having heatstroke. The primary health care provider has ordered a series of diagnostic tests and interventions. Below are the exhibits to help the nurse assess the client.
Question 1 of 5
The nurse is caring for a male client suspected of having heatstroke. Which findings are consistent with this diagnosis?
Correct Answer: A,C
Rationale: Tachycardia and hot, dry skin are heatstroke signs. Hallucinations are not typical. Bradycardia contradicts the observed tachycardia.
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 2 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 3 of 5
A nurse is planning care for a client who is to undergo a stem cell transplant. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Dedicated BP equipment prevents cross-contamination. Water intake is not specific. Negative airflow is for airborne infections. Vital signs need more frequent monitoring.
Question 4 of 5
A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Teaching about cortisol replacement is essential for Addison's management. Fluid volume excess is unlikely; deficit is more common. High-sodium diets are needed. Hypoglycemia, not hyperglycemia , is typical.
Question 5 of 5
Treatment for frostbite includes which actions?
Correct Answer: A,C,D
Rationale: IV opioids manage frostbite pain. Warm water immersion aids rewarming. Elevating limbs reduces edema post-rewarming. Lowering limbs is incorrect; elevation is needed. Tetanus prophylaxis is recommended.