ATI n200 Med Surg Exam

Question 1 of 5

The nurse is reviewing the history of a client admitted with newly diagnosed chronic bronchitis. Which question by the nurse confirms this diagnosis?

A. Have you ever had pneumonia?B. Have you had a bronchoscopy in the last month?C. Has your cough been consistent for three months in the last two years?D. Have you had the flu in the past year?

Correct Answer: C

Rationale: Consistent cough for three months in two years (
C) defines chronic bronchitis. Pneumonia (
A), bronchoscopy (
B), and flu (
D) are unrelated.

Question 2 of 5

A client in DKA is ordered regular insulin at 5 units per hour for the current blood glucose level. The institution protocol is to add 125 units of regular insulin to a 250 mL bag of normal saline. What is the correct rate for the nurse to set the IV pump for this dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 10 mL/hr.

Rationale: 125 units in 250 mL = 0.5 units/mL; 5 units ÷ 0.5 units/mL = 10 mL/hr (
A).

Question 3 of 5

A physical therapist is helping nursing students to understand the correct use of ambulatory devices. The students realize that the correct statement(s) made is/are: (SELECT ALL THAT APPLY)

A. A cane is held on a client's weaker side for support.B. Cane tips should have rubber caps and be in good repair to prevent slippage.C. When using a walker, the client should first move the walker ahead approximately six inches, and then step into it.D. Clients need to have at least partial strength in their hands, wrists, elbows, arms and shoulders to correctly use a standard walker.E. When using crutches, the client's body weight should rest on the axillae.

Correct Answer: B,C,D

Rationale: The cane should be held on the stronger side to support the weaker side. Rubber caps prevent the cane from slipping, enhancing safety. Moving the walker first provides stability before the client steps into it. Adequate upper body strength is necessary to use a standard walker effectively. Body weight should be supported on the hands, not the axillae, to avoid nerve damage.

Question 4 of 5

The client has fibromyalgia and asks the nurse why this occurs. Which statement by the client, would show that the explanation was understood?

A. There is inflammation in my muscles and tendons.B. The disease is psychosomatic.C. There is destruction of cartilage in my joints.D. My body mistakes non-painful stimuli for pain.

Correct Answer: D

Rationale: Fibromyalgia does not involve inflammation in muscles and tendons; it is a central nervous system disorder. Fibromyalgia is not psychosomatic, although its symptoms are not fully understood and may involve stress. Cartilage destruction is more characteristic of osteoarthritis, not fibromyalgia. Fibromyalgia is characterized by abnormal pain processing, where the body perceives normal sensations as painful.

Question 5 of 5

The nurse is caring for a client who has a core temperature of 97°F (36.1°C) post-op in the post-anesthesia care unit. What action(s) will the nurse take in light of this finding? (Select all that apply)

A. Give a unit of packed red blood cells as ordered.B. Provide warm irrigation to the operative site.C. Provide warmed IV fluids.D. Provide a warm blanket.E. Give acetaminophen per rectum per order because the client is NPO.

Correct Answer: C,D

Rationale: Warmed IV fluids (
C) and warm blankets (
D) address mild hypothermia. Blood transfusion (
A) is unrelated, warm irrigation (
B) is not standard, and acetaminophen (E) is for fever, not hypothermia.

ATI n200 Med Surg Exam | Nurselytic

Nurselytic

ATI RN

ATI RN