ATI RN Medical Surgical Proctored Exam with NGN
100 Questions and Answers Rational
Answer: Make sure the client’s room has positive-pressure airflow.
Rationale: Positive-pressure airflow prevents airborne pathogens from entering the room, which is
essential for immunocompromised patients like those post–stem cell transplant.
,
,"A nurse in a provider’s office is caring for a client." Physical
Examination:
• Rash and cutaneous plaques on the scalp, face, and neck. Areas of hyperpigmentation are also
noted. Butterfly rash is present on the cheeks.
, • The client reports alopecia and mouth ulcerations. Joint tenderness and edema are
noted.
• Chest clear on auscultation.
• The client reports no urinary or gastrointestinal issues.
The nurse is asked to "Complete the diagram by dragging from the choices below to specify what
condition the client is most likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client’s progress."
Correct Answer:
Condition:
• Systemic Lupus Erythematosus (SLE)
The butterfly rash, alopecia, mouth ulcerations, joint tenderness, and edema are classic signs of SLE.
Actions to Take:
1. Administer NSAIDs - To reduce inflammation and manage joint pain.
2. Monitor kidney function - Lupus can affect the kidneys, so it's important to monitor for
potential lupus nephritis.
Parameters to Monitor:
1. Creatinine and BUN levels - These values help assess kidney function, which can be affected
by lupus.
2. Complete blood count (CBC) - To monitor for anemia or leukopenia, which are common
complications of SLE.
100 Questions and Answers Rational
Answer: Make sure the client’s room has positive-pressure airflow.
Rationale: Positive-pressure airflow prevents airborne pathogens from entering the room, which is
essential for immunocompromised patients like those post–stem cell transplant.
,
,"A nurse in a provider’s office is caring for a client." Physical
Examination:
• Rash and cutaneous plaques on the scalp, face, and neck. Areas of hyperpigmentation are also
noted. Butterfly rash is present on the cheeks.
, • The client reports alopecia and mouth ulcerations. Joint tenderness and edema are
noted.
• Chest clear on auscultation.
• The client reports no urinary or gastrointestinal issues.
The nurse is asked to "Complete the diagram by dragging from the choices below to specify what
condition the client is most likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client’s progress."
Correct Answer:
Condition:
• Systemic Lupus Erythematosus (SLE)
The butterfly rash, alopecia, mouth ulcerations, joint tenderness, and edema are classic signs of SLE.
Actions to Take:
1. Administer NSAIDs - To reduce inflammation and manage joint pain.
2. Monitor kidney function - Lupus can affect the kidneys, so it's important to monitor for
potential lupus nephritis.
Parameters to Monitor:
1. Creatinine and BUN levels - These values help assess kidney function, which can be affected
by lupus.
2. Complete blood count (CBC) - To monitor for anemia or leukopenia, which are common
complications of SLE.
