ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 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 2 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 3 of 5
An older adult client with chronic respiratory disease tells the nurse it is unnecessary to receive the pneumococcal pneumonia vaccine because the influenza vaccine was just received two months ago. Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Influenza vaccine doesn't protect against bacterial pneumonia; pneumococcal vaccine (
A) is needed. Full protection (
B), flu causing pneumonia (
C), and carrier prevention (
D) are incorrect.
Question 4 of 5
A nurse is caring for a client postoperative closed reduction of the left ankle with a short cast in place. Which assessments of the client's affected leg should the nurse make? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D,E
Rationale: Capillary refill is a key indicator of circulation to the affected area. It should be assessed to ensure adequate perfusion. Pain assessment is critical for identifying any complications such as compartment syndrome or inadequate pain management. The ability to move the toes helps assess for nerve function and mobility. Posterior tibialis and pedal pulses assess the circulation and can help identify signs of vascular compromise. Skin temperature and color help identify signs of poor circulation, swelling, or potential complications like compartment syndrome.
Question 5 of 5
The nurse is aware that the client who is prescribed medications for tuberculosis should have which laboratory test(s) assessed monthly?
Correct Answer: A
Rationale: Liver function tests (
A) monitor TB drug hepatotoxicity. WBCs (
B), coagulation (
C), and RBCs (
D) are not routinely monitored monthly.