ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client who is in the end stage of chronic bronchitis tells the nurse, "I don't know how my wife will manage without me." The most appropriate response by the nurse at this time is:
Correct Answer: D
Rationale: Encouraging discussion with the wife (
D) addresses emotional concerns. Clergy (
A), children (
B), and living will (
C) are less immediate.
Question 2 of 5
A client with newly diagnosed rheumatoid arthritis asks the nurse what happens to the joint with this disease. Which explanation by the nurse is most accurate?
Correct Answer: D
Rationale: This description is more characteristic of osteoarthritis, where cartilage wear and tear occur. This explanation is more related to chronic pain syndromes, not specifically RA. The presence of crystals in the joint is a characteristic of gout, not RA. Rheumatoid arthritis (R
A) is an autoimmune condition in which the body's immune system attacks the synovial lining of the joints, causing inflammation, pain, and eventually joint destruction.
Question 3 of 5
When the nurse admits a client with anorexia nervosa for treatment, what factors should the therapeutic milieu provide? (SELECT ALL THAT APPLY)
Correct Answer: A,C,E
Rationale: Observation during and after meals is essential to prevent purging behaviors and to ensure the client is eating and not engaging in unhealthy behaviors. Unscheduled weight checks could increase anxiety and are not typically part of a structured treatment approach. Monitoring bathroom trips is important to prevent purging behaviors, such as vomiting, after meals. Meals should be offered on a regular schedule to promote healthy eating habits and avoid the unpredictability that can lead to eating disorder behaviors. Adherence to scheduled meal times helps provide structure and consistency for the client, which is crucial for managing anorexia nervosa.
Question 4 of 5
A client is admitted with hypovolemia due to severe bleeding. Which IV fluid does the nurse anticipate using to replace fluid losses?
Correct Answer: C
Rationale: Normal saline (
C) is isotonic, expanding blood volume. D5W (
A) and D5 1/4 NS (
B) are hypotonic, and 3% NaCl (
D) is hypertonic, unsuitable for resuscitation.
Question 5 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.