ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for a client with lupus and is reviewing the medication list. Which of the following prescriptions would not correlate to this illness?
Correct Answer: A
Rationale: Donepezil treats Alzheimer's, unrelated to lupus's autoimmune pathology. Prednisone , hydroxychloroquine , and methotrexate manage inflammation, flares, and immune activity in lupus, aligning with standard treatment.
Question 3 of 5
The nurse is caring for a client with hyperparathyroidism. Which of the following orders from the healthcare provider can be expected to reduce the client's overproduction of calcium? (Select all that apply)
Correct Answer: B,C,D
Rationale: A low calcium diet reduces intake, high fiber binds calcium, lowering absorption. Parathyroidectomy removes overactive glands, stopping excess PTH-driven calcium release. Furosemide increases renal calcium excretion. Calcium carbonate worsens hypercalcemia, and fluid restriction concentrates calcium, counterproductive.
Question 4 of 5
Which of the following symptoms is indicative of right-sided heart failure?
Correct Answer: C
Rationale: Jugular venous distention occurs in right-sided heart failure from systemic venous backup. Crackles , orthopnea , and blood-tinged sputum indicate left-sided failure's pulmonary congestion.
Question 5 of 5
The nurse is calculating the output of a client at the end of the shift. The nurse notes the following: 4 liters of fluid were removed during hemodialysis, the Jackson Pratt drain had 20 mL emptied from it, the client voided 100 mL, and the nasogastric tube has 325 mL in the drainage canister. How many milliliters should the nurse record as output for this shift?
Correct Answer: A
Rationale:
Total output is 4000 mL (hemodialysis) + 20 mL (Jackson Pratt) + 100 mL (urine) + 325 mL (nasogastric) = 4445 mL. Other options miscalculate or omit components.