ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client asks the nurse why the physician has advised her to walk for 30 minutes three times a week to help prevent osteoporosis. The nurse's best response is that walking:
Correct Answer: B
Rationale: Vitamin D absorption is more directly influenced by sunlight exposure and dietary intake. Walking, a weight-bearing exercise, helps stimulate bone formation and maintain bone density. Walking does not influence estrogen levels, which are primarily related to hormonal changes. Although walking can aid in weight loss, its primary benefit in this context is improving bone health.
Question 2 of 5
A nurse is caring for a client with osteoarthritis. The nurse should expect which findings with this disease process?
Correct Answer: B
Rationale: Swan-neck deformities are associated with rheumatoid arthritis, not osteoarthritis. Osteoarthritis often presents with joint swelling, pain, and the formation of bony enlargements, particularly at the knees. A painful, hot right great toe suggests gout, not osteoarthritis. Hot, red, swollen joints are characteristic of inflammation in conditions like rheumatoid arthritis, not osteoarthritis.
Question 3 of 5
The nurse recognizes that the goals of teaching about the transmission of tuberculosis have been met when the client with tuberculosis:
Correct Answer: A
Rationale: Covering the mouth (
A) prevents TB spread. Reporting (
B), N95 mask (
C), and washing items (
D) are less critical for transmission.
Question 4 of 5
A client with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:
Correct Answer: C
Rationale: The drug should not be held based on how the client feels. Infliximab is prescribed based on specific treatment protocols, and stopping it could negatively impact disease management. Infliximab can be taken regardless of food intake, so it's not necessary to take it with food or milk. Infliximab is an immunosuppressive medication, which increases the risk of infections. Teaching the client and caregivers about the importance of hand hygiene is essential in preventing infections. There is no requirement for the drug to be given specifically in the morning. It can be given according to the prescribed schedule, typically at intervals based on disease management.
Question 5 of 5
The nurse is caring for a client who has been treated with skeletal traction for two weeks. What are the priorities of care? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D
Rationale: Feet should not be wedged tightly against the footboard, as it may cause pressure injuries. Providing pin care prevents infection at the pin sites. Neurovascular checks monitor for complications like compartment syndrome. Assessing for skin breakdown is essential due to prolonged immobility. Weights should not be removed unless prescribed, as it can disrupt the traction setup.