ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client fractured the right ankle which was casted with a plaster of Paris cast. Before discharge, the nurse gives instructions for cast care. Which statement made by the client indicates that further teaching is needed?
Correct Answer: B
Rationale: Wiggling toes promotes circulation and helps detect any tightness or swelling in the cast. Inserting objects into the cast, such as a chopstick, to relieve an itch can cause injury or damage to the skin or the cast itself. Monitoring sensations in the foot is crucial to identify any issues such as decreased circulation or increased pressure. Noticing hot spots on the cast is important as it may indicate irritation or infection beneath the cast.
Question 2 of 5
The priority nursing intervention for a client who has a serum sodium level of 154 mEq/L would be:
Correct Answer: C
Rationale: Fluid restriction (
C) corrects hypernatremia. Cardiac monitoring (
A), breath sounds (
B), and safety precautions (
D) are secondary.
Question 3 of 5
A client is admitted with a dislocation of the right shoulder. The nurse knows this is an orthopedic emergency and that the priority for treatment will be:
Correct Answer: A
Rationale: The priority in treating a dislocated joint is to realign the dislocated bones to their proper position, which is crucial to prevent damage to the surrounding nerves, blood vessels, and muscles. This should be done promptly under medical supervision, often requiring sedation or pain management. Teaching the client to avoid contact sports is important for long-term care, but not an immediate priority in the acute phase. Applying a sling helps support the joint, but it is not the first priority; realignment of theJ
Question 4 of 5
The nurse is caring for a client recently diagnosed with emphysema. What information, regarding health maintenance, would the nurse include in teaching sessions? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D,E
Rationale: Small meals (
B), oxygen (
C), smoking cessation (
D), and exercise (E) manage emphysema. Avoiding grandchildren (
A) is unnecessary.
Question 5 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?
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.