ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The nurse is providing education to a client who is newly diagnosed with lupus. Which of the following statements would require further teaching?
Correct Answer: A
Rationale: Sun exposure triggers lupus rashes, so it increases, not decreases, risk. Ibuprofen , fever as a flare sign , and rest are correct.
Question 2 of 5
Which of the following treatments for lupus would aid in fighting infections and boosting the client's platelet and red blood cell counts?
Correct Answer: A
Rationale: Gamma globulins (IVIG) provide antibodies and stabilize platelet/RBC counts in lupus. Prednisone , methotrexate , and hydroxychloroquine suppress immunity or control symptoms, not boosting counts.
Question 3 of 5
The nurse is educating a client on hyperparathyroidism. Which of the following statements would require further teaching?
Correct Answer: D
Rationale: Fluid restriction (1,000 mL) worsens hypercalcemia; increased fluids dilute calcium. Fiber , furosemide , and parathyroidectomy are correct.
Question 4 of 5
The nurse is assessing a client's thyroid. The nurse determines the client's thyroid is non-palpable and non-tender. Which is the best explanation of these findings?
Correct Answer: C
Rationale: A non-palpable, non-tender thyroid is normal, indicating no enlargement or inflammation. Levothyroxine or thyroidectomy assumes pathology, and error is unfounded.
Question 5 of 5
Your labs are potassium 6.4, sodium 138, and serum calcium level of 9. Which order from the healthcare provider would the nurse anticipate?
Correct Answer: C
Rationale: Kayexalate binds potassium in the gut, facilitating its excretion, effectively lowering serum levels (6.4 mEq/L) in hyperkalemia. Fluid restriction may worsen potassium concentration, neomycin is irrelevant, and sodium chloride with furosemide is less direct than Kayexalate for rapid correction.