ATI RN
ATI Med Surg RN 221A Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Turning the head to the side protects the airway by preventing aspiration during a tonic-clonic seizure, making it the priority action.
Question 3 of 5
A nurse is completing discharge teaching to a patient who has seizures and received a vagal nerve stimulator to decrease seizure activity. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Placing a magnet over the vagal nerve stimulator during an aura can deliver extra stimulation to interrupt or shorten a seizure, empowering the patient in seizure management.
Question 4 of 5
A nurse is assessing a 28-year-old client with HIV who has been admitted with pneumonia. Which of the following observations should the nurse prioritize?
Correct Answer: A
Rationale: Tachypnea and restlessness indicate respiratory distress in pneumonia, requiring immediate attention to ensure oxygenation.
Question 5 of 5
The nurse is providing discharge instructions to a patient who has a prescription for phenytoin. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Taking phenytoin at the same time daily ensures stable blood levels, critical for seizure control, making it key discharge information.