ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client has undergone a laminectomy and diskectomy at L3-4 and L4-5 with spinal fusion at those levels. Postoperatively the nurse would expect to include in the client's care which of the following?
Correct Answer: D
Rationale: A Foley catheter is used postoperatively if the client is unable to void, but its use should be temporary, not for ease of elimination long-term. A cane may be needed for ambulation after recovery, but immediately postoperatively, focus is on spinal stability. Heat application is generally not recommended immediately after spinal surgery, as it could increase swelling and inflammation. A back brace helps maintain spinal stability and prevents excessive movement that could disrupt the healing process after spinal fusion surgery.
Question 2 of 5
Which of these education points would be MOST helpful for the nurse give to a individual with osteoarthritis? (SELECT ALL THAT APPLY)
Correct Answer: B,D,E
Rationale: Physical activity should be encouraged to maintain mobility, not limit it. A bed cage can help alleviate pain by preventing linens from touching sensitive areas. Osteoarthritis involves the breakdown of cartilage, not an autoimmune attack on the joint lining. Injectable corticosteroids are used when NSAIDs are ineffective. Gradual weight loss reduces stress on weight-bearing joints, alleviating symptoms.
Question 3 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 4 of 5
The nurse is aware that a common adverse effect of anesthetic agents experienced by the client is:
Correct Answer: C
Rationale: Malignant hyperthermia (
C) is a rare but serious anesthetic reaction. Tachycardia (
A) and decreased respirations (
B) are less severe, and hypokalemia (
D) is unrelated.
Question 5 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)
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.