ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
What intervention should the nurse identify as a priority for a client with a nursing diagnosis of ineffective airway clearance related to HIV-related pneumonia?
Correct Answer: A
Rationale: Coughing, deep breathing, and hydration directly clear airway secretions in pneumonia, making them the priority intervention.
Question 2 of 5
A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus (SLE). The nurse should recognize the need for further teaching when the client identifies which of the following as a factor that can exacerbate SLE?
Correct Answer: A
Rationale: Exercise is beneficial for SLE patients, improving energy and joint flexibility. Sunlight, certain diets, and infections can exacerbate SLE, indicating the client's misunderstanding about exercise requires further teaching.
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
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 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.