ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client who receives an antihypertensive medication daily is NPO except medications for surgery. The most recent blood pressure recording is 174/88. What action should the nurse take first?
Correct Answer: D
Rationale: Administering antihypertensive (
D) addresses high blood pressure. Notifying (
A), documenting (
B), and relaxation (
C) are secondary.
Question 2 of 5
A nurse is caring for a client prescribed drug N 235 mcg PO daily. Available is drug N PO 0.5 mg per 1 scored tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5 tablets
Rationale: 235 mcg = 0.235 mg; 0.235 ÷ 0.5 mg/tablet = 0.47, rounded to 0.5 tablets (
A).
Question 3 of 5
Which are examples of primary prevention techniques to decrease falls that the nurse could suggest for older adults who are living in their own homes? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D
Rationale: Placing commonly used items within easy reach minimizes the need for reaching or climbing, reducing fall risk. Attendance at illness support groups is not directly related to fall prevention. Removing small area rugs prevents tripping hazards. Installing grab bars in the shower provides support and stability. Screenings for blood pressure, cancer, and osteoporosis are secondary prevention measures, not primary prevention for falls.
Question 4 of 5
What information would be important for the nurse to reinforce when teaching a pre-operative client about the correct use of the patient-controlled analgesia (PCA) device to achieve the best outcome?
Correct Answer: D
Rationale: Pressing PCA when pain begins (
D) prevents severe pain. Delaying (
A), others pressing (
B), or routine pressing (
C) risks inadequate/excessive dosing.
Question 5 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.