ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 of 5
What is the nurse's primary consideration when caring for a client with rheumatoid arthritis?
Correct Answer: A
Rationale: Pain is the most debilitating symptom of rheumatoid arthritis, impacting quality of life. Ensuring comfort through pain management, rest, and a supportive environment is the nurse's primary focus.
Question 2 of 5
A nurse is discussing gout with a patient who is concerned about developing the disorder. Which of the following findings should the nurse identify as risk factors for this disease? Select all that applies.
Correct Answer: C,D
Rationale: Cardiovascular disease increases gout risk due to associated conditions like hypertension and kidney disease, which elevate uric acid levels. Diuretic use, especially thiazides, reduces uric acid excretion, leading to hyperuricemia. Depression and sleep deprivation lack consistent evidence as direct risk factors for gout.
Question 3 of 5
A nurse is caring for a patient with rheumatoid arthritis. The patient is prescribed hydroxychloroquine to slow the progression of the disease. Which of the following laboratory results should the nurse monitor for this patient?
Correct Answer: A
Rationale: Hydroxychloroquine can cause bone marrow suppression, lowering white blood cell counts, increasing infection risk, necessitating monitoring.
Question 4 of 5
A nurse is caring for a patient who has rheumatoid arthritis. Which of the following laboratory tests are used to diagnose the disease? (Select all that apply)
Correct Answer: A,D,E
Rationale: ANA titer, ESR, and WBC count support rheumatoid arthritis diagnosis by indicating autoimmunity and inflammation, while BUN and urinalysis are not specific to it.
Question 5 of 5
The nurse is planning education for a patient diagnosed with fibromyalgia. Which risk factors should the nurse include in the teaching plan? (Select all that apply)
Correct Answer: A,D,E
Rationale: Rheumatologic conditions, deep sleep deprivation, and physical/emotional trauma are linked to fibromyalgia due to immune dysregulation, pain sensitivity, and stress-related changes. Nutritional deficiencies and bone injuries lack strong evidence as direct risk factors.