ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client diagnosed with cervical spine degeneration has undergone a laminectomy. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Measuring drainage from the Jackson-Pratt drain is important, but this is not the primary intervention to address post-laminectomy complications. The patient should generally be positioned in a neutral, stable position, but not specifically prone with knees elevated, which may be uncomfortable or inappropriate for the cervical region. Narcotics may be required for pain control, especially postoperatively, so advising the patient to avoid them is inappropriate. Following a cervical spine laminectomy, the nurse should assess the client for any signs of nerve or spinal cord injury, such as difficulty speaking or breathing. These symptoms may indicate spinal cord compression or other complications.
Question 2 of 5
An older adult client with chronic respiratory disease tells the nurse it is unnecessary to receive the pneumococcal pneumonia vaccine because the influenza vaccine was just received two months ago. Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Influenza vaccine doesn't protect against bacterial pneumonia; pneumococcal vaccine (
A) is needed. Full protection (
B), flu causing pneumonia (
C), and carrier prevention (
D) are incorrect.
Question 3 of 5
A client with left lower lobe pneumonia has activity intolerance related to impaired oxygen supply and demand as evidenced by fatigue, dyspnea, and difficulty performing self-care. Which expected outcome must be included in the care plan related to this problem? The client will:
Correct Answer: C
Rationale: Performing self-care without dyspnea (
C) addresses activity intolerance. Oximetry (
A), respiratory rate (
B), and clear breath sounds (
D) are less specific.
Question 4 of 5
The nurse is assessing the client and notes fine crackles throughout the lungs bilaterally. This assessment finding is often associated with:
Correct Answer: A
Rationale: Fine crackles (
A) are common in bronchitis due to mucus. Pneumothorax (
B), asthma (
C), and emphysema (
D) have different sounds.
Question 5 of 5
The nurse is evaluating the arterial blood gas (ABG) of a client who was admitted in status asthmaticus. Which ABG result would indicate the client has an improved acid-base status?
Correct Answer: A
Rationale: Normal pH and PaO2 (
A) indicate improved status. Hypoxemia (
B), alkalosis (
C), and acidosis (
D) suggest ongoing issues.