ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client is diagnosed with asthma. The therapeutic regimen using metered dose inhalers includes albuterol 2 puffs and beclomethasone 2 puffs. The nursing plan of care must include teaching regarding:
Correct Answer: B
Rationale: Rinsing after beclomethasone (
B) prevents oral thrush. Coughing (
A) isn't needed, beclomethasone is regular (
C), and albuterol goes first (
D).
Question 2 of 5
The client with right lower lobe pneumonia has been treated with intravenous antibiotics for three days. Which assessment data obtained by the nurse indicates that the treatment has been effective?
Correct Answer: B
Rationale: Normal WBC count (
B) indicates resolving infection. Low oximetry (
A), bronchial sounds (
C), and yellow sputum (
D) suggest ongoing issues.
Question 3 of 5
The nurse is transcribing a medication order and schedules dosing for 1000, 1400 and 1800. Which medication order is consistent with this schedule?
Correct Answer: C
Rationale: Propranolol 10 mg PO twice a day would not fit this schedule of three doses. Morphine sulfate is ordered every 4 hours as needed, not on a fixed schedule. Metoprolol is scheduled three times a day (1000, 1400, 1800), fitting the described schedule. Cephalexin 500 mg q 4 hours does not match the schedule as it requires dosing every 4 hours, not at the specified times.
Question 4 of 5
The purpose of the nurse providing pre-operative teaching to clients undergoing surgery is to:
Correct Answer: C
Rationale: Pre-operative teaching improves post-operative outcomes (
C). Time-outs (
A), consent (
B), and collaboration (
D) are secondary.
Question 5 of 5
A client is being considered for a total hip replacement. The nurse understands that contraindications for this procedure include: (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Bleeding disorders pose a risk of excessive bleeding during and after surgery. An active infection can complicate the healing process and increase the risk of prosthetic joint infection. While immobility may indicate a need for the surgery, it is not a contraindication. Advanced osteoporosis can compromise the bone's ability to support the prosthetic, making surgery less viable. Severe pain is one of the primary indications for considering hip replacement surgery.