ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client returns to the unit after undergoing a total hip replacement with a cemented prosthesis. Which order should the nurse anticipate regarding weight bearing status?
Correct Answer: A
Rationale: Full weight bearing is often allowed immediately after surgery with a cemented prosthesis to facilitate early mobility.
Toe touch weight bearing is typically reserved for certain types of hip surgeries, not cemented prostheses. Non-weight bearing is usually for surgeries with significant healing time required for the bone. Partial weight bearing may be prescribed in some cases but is less common with cemented prostheses.
Question 2 of 5
The client has been diagnosed with rheumatoid arthritis and asks, 'What impact will this have on my activities of daily living in the years to come?' What is the best response by the nurse?
Correct Answer: B
Rationale: Suggesting remedies prematurely without fully understanding the client's concerns might not address their specific needs. The best response is to encourage open communication by acknowledging the client's concerns and fostering a discussion. This approach helps the nurse understand the client's worries and provide tailored information about rheumatoid arthritis and its potential impact on daily life. The progression of rheumatoid arthritis is variable and can affect activities of daily living more noticeably over time; it's not always subtle. While predicting disease outcomes can be difficult, giving a more open response like option B will foster better communication and support.
Question 3 of 5
The client has fibromyalgia and asks the nurse why this occurs. Which statement by the client, would show that the explanation was understood?
Correct Answer: D
Rationale: Fibromyalgia does not involve inflammation in muscles and tendons; it is a central nervous system disorder. Fibromyalgia is not psychosomatic, although its symptoms are not fully understood and may involve stress. Cartilage destruction is more characteristic of osteoarthritis, not fibromyalgia. Fibromyalgia is characterized by abnormal pain processing, where the body perceives normal sensations as painful.
Question 4 of 5
A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is started on ethambutol therapy. The nurse should understand that which of the following should be monitored?
Correct Answer: B
Rationale: Ethambutol can cause optic neuropathy; visual acuity (
B) must be monitored. Skin color (
A), cardiac rhythm (
C), and urine output (
D) are not primary concerns.
Question 5 of 5
A client in DKA is ordered regular insulin at 5 units per hour for the current blood glucose level. The institution protocol is to add 125 units of regular insulin to a 250 mL bag of normal saline. What is the correct rate for the nurse to set the IV pump for this dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 10 mL/hr.
Rationale: 125 units in 250 mL = 0.5 units/mL; 5 units ÷ 0.5 units/mL = 10 mL/hr (
A).