ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?
Correct Answer: D
Rationale: Obtaining a walker does not address the acute neurological symptoms. Applying a diaper addresses the incontinence but not the underlying cause. Inserting a Foley catheter manages urinary incontinence but delays necessary evaluation. Notifying the physician is critical as these symptoms suggest cauda equina syndrome, a surgical emergency.
Question 2 of 5
The nurse is discharging a client newly diagnosed with tuberculosis. Which medications should be included in the discharge planning? (SELECT ALL THAT APPLY)
Correct Answer: B,C,E
Rationale: Isoniazid (
B), pyrazinamide (
C), and rifampin (E) are TB treatments. Albuterol (
A) and tiotropium (
D) are for asthma/COPD.
Question 3 of 5
Which of these deformities is associated with osteoarthritis? (SELECT ALL THAT APPLY)
Correct Answer: D,E
Rationale: Inflammation of the lungs: This is not associated with osteoarthritis but could indicate other conditions such as rheumatoid arthritis or systemic diseases. Tender and warm joints: These are more typical of inflammatory conditions like rheumatoid arthritis. Nodules on the skin: Nodules are common in rheumatoid arthritis, not osteoarthritis. Pain and stiffness of joints: Osteoarthritis is characterized by joint pain and stiffness, especially after inactivity or overuse. Swelling of joints affected: Swelling occurs due to inflammation and changes in the joint structure associated with osteoarthritis.
Question 4 of 5
Which statement made by the client to the nurse indicates a precipitating factor associated with pain?
Correct Answer: C
Rationale: Pain comes and goes all night long' is a description of pain pattern, not a precipitating factor. Dizziness and nausea are associated with pain but are not directly related to a precipitating factor. This statement suggests that eating breakfast may be a precipitating factor for pain, indicating that the pain may be related to digestive or gastrointestinal issues, such as acid reflux or ulcers. Describing the pain as 'sharp' gives details of pain quality but not a precipitating factor.
Question 5 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.