ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client receives a tuberculin (PPD) skin test on Thursday at 1200. The nurse documents on the medication record that the results need to be read:
Correct Answer: A
Rationale: PPD results are read 48-72 hours post-administration; Sunday morning (
A) is within this window.
Question 2 of 5
The prescription states: "Give drug D 0.5 mg/kg of body weight PO three times a day." The client's weight is 90 kg. Drug D is available from the pharmacy as 25 mg per 5 mL. How many mL will the client receive per 1 dose? (Use preceding zeros if necessary. Do not use trailing zeros. Round to the nearest tenth if necessary.)
Correct Answer: 9.0 mL
Rationale: 0.5 mg/kg × 90 kg = 45 mg; 45 ÷ (25 mg/5 mL) = 9.0 mL (
A).
Question 3 of 5
The client has had a total hip replacement. The nurse teaches the client about safe positions for the client for sexual intercourse. These include: (SELECT ALL THAT APPLY)
Correct Answer: A,E
Rationale: Side-lying on the unaffected side with pillows between the legs can maintain proper hip alignment and prevent dislocation, which is critical after a hip replacement. Side-lying on the affected side could cause risk of hip dislocation and is not recommended. The 'on hands and knees' position should be avoided as it may place strain on the hip joint and cause dislocation. 'Client on top' is typically not recommended as it can lead to excessive flexion or rotation of the hip, which could lead to dislocation. Lying supine can also be a safe position if the client avoids bending the hip past 90 degrees, which could cause dislocation.
Question 4 of 5
The nurse is presenting a community health program on fracture risk reduction. Which topics should be included? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D,E
Rationale: Recreational drug use does not directly relate to fracture prevention and is less relevant for a fracture risk reduction program. The use of seatbelts helps reduce the risk of fractures during vehicle accidents, a common cause of trauma. Osteoporosis screening is important for identifying individuals at higher risk for fractures due to bone weakness. Helmets protect against head injuries, which can result in fractures, particularly in activities like biking or skating. Fall prevention strategies are crucial in reducing fracture risk, especially in older adults or those with osteoporosis.
Question 5 of 5
A nurse is caring for a client with a herniated disc who has undergone a lumbar laminectomy and diskectomy at L4-5. When assisting the client to move in bed, the nurse should include what specific technique?
Correct Answer: D
Rationale: While bending the knees helps with body mechanics, twisting the spine should still be avoided. Moving the hips and legs first could lead to twisting the spine if not done correctly, so the spine must be kept aligned during all movements. The client should avoid pulling on side rails or assisting with movement until fully cleared by the physician, as this could put unnecessary strain on the spine. It is essential to maintain spinal alignment and prevent twisting of the spine during repositioning. The client should be turned as one unit to minimize strain on the healing vertebrae.