ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client with arthritis is prescribed ibuprofen 800 mg PO TID for pain reduction in the knee. The nurse should instruct the client to report which of the following side effects to the physician? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C
Rationale: Blood in stools: This could indicate gastrointestinal bleeding, a serious side effect of NSAIDs like ibuprofen. Peripheral edema: NSAIDs can cause fluid retention and lead to peripheral edema. Heartburn: Heartburn is a common side effect of NSAIDs due to their gastrointestinal irritation. A cold: This is not related to NSAID use and is not a side effect. Thickened fingernails: This is unrelated to ibuprofen use.
Question 2 of 5
Your neighbor returns home from the Emergency Department following treatment for a right ankle sprain and asks you, a nurse, to explain what will happen now that he is home. You recognize that continuing short term treatment will most likely include: (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,E
Rationale: Elevating the leg helps reduce swelling by promoting venous return and decreasing fluid accumulation. Reducing activity helps prevent further injury and allows the healing process to begin. Applying ice helps reduce swelling and pain in the acute phase of a sprain. Traction is typically not used for a sprained ankle unless there is a fracture or more severe injury, which is not typical for sprains. An ACE bandage or wrap provides compression, which helps control swelling and supports the injured area.
Question 3 of 5
A nurse is caring for a client with osteoarthritis. The nurse should expect which findings with this disease process?
Correct Answer: B
Rationale: Swan-neck deformities are associated with rheumatoid arthritis, not osteoarthritis. Osteoarthritis often presents with joint swelling, pain, and the formation of bony enlargements, particularly at the knees. A painful, hot right great toe suggests gout, not osteoarthritis. Hot, red, swollen joints are characteristic of inflammation in conditions like rheumatoid arthritis, not osteoarthritis.
Question 4 of 5
The nurse recognizes that the goals of teaching about the transmission of tuberculosis have been met when the client with tuberculosis:
Correct Answer: A
Rationale: Covering the mouth (
A) prevents TB spread. Reporting (
B), N95 mask (
C), and washing items (
D) are less critical for transmission.
Question 5 of 5
A client who is 3 days post-operative following a total hip replacement returns from physical therapy and states, 'Something is not right. I felt something 'pop' in my hip.' What would cause the nurse to suspect that the client has dislocated the hip?
Correct Answer: B
Rationale: Increased incisional drainage is not a typical sign of dislocation. A painful, abnormally rotated leg is a classic sign of hip dislocation. Reddened incision may indicate infection but not dislocation. Sudden shortness of breath could indicate a pulmonary embolism, not hip dislocation.