ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client newly diagnosed with asthma is being given discharge instructions. The nurse works collaboratively with the client, instructing the client to use a metered dose inhaler (MDI). What is the first priority and last priority step in the procedure?
Correct Answer: D
Rationale: Removing cap and shaking (
D) prepares the inhaler; rinsing prevents thrush. Holding breath (
A), mouthpiece placement (
B), and canister pressing (
C) are intermediate.
Question 2 of 5
A patient is prescribed alendronate at 0800 for the treatment of osteoporosis. As the nurse you know you must administer this medication:
Correct Answer: C
Rationale: The patient should not lie down after taking alendronate, as it increases the risk of esophageal irritation. Alendronate should be taken on an empty stomach, and while dairy products should generally be avoided when taking certain medications, this specific instruction applies more to calcium or iron supplements. Alendronate should be taken on an empty stomach, ideally first thing in the morning, with a full glass of water to enhance absorption. The patient must remain upright for 30 minutes to prevent esophageal irritation and reduce the risk of esophageal ulcers. The medication should not be taken with milk or juice, as they can interfere with absorption.
Question 3 of 5
Post total joint replacement, the patient needs for the joint to heal prior to sexual activity. What position is best for the patient after a total joint replacement of the hip?
Correct Answer: A
Rationale: Side-lying on the unaffected side is the safest position for hip replacement patients to avoid dislocating the affected hip. Lateral Sims position is not appropriate for this scenario. Reverse Trendelenburg position is not related to hip replacement precautions. The patient being on the bottom is not recommended for a hip replacement as it could cause stress on the joint.
Question 4 of 5
Which of the following is a characteristic of a Venturi mask?
Correct Answer: C
Rationale: Venturi masks provide precise oxygen concentrations (
C). Rebreathing (
A), high flow (
B), and independence (
D) are incorrect.
Question 5 of 5
The client diagnosed with pneumonia asks the nurse, "Why did my physician order chest physiotherapy (CPT) for me?" Which response by the nurse is most accurate? Chest physiotherapy will:
Correct Answer: C
Rationale: CPT loosens secretions (
C) to improve ventilation. Ciliary movement (
A), deep breathing (
B), and oxygen supply (
D) are secondary.