ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:
Correct Answer: C
Rationale: The drug should not be held based on how the client feels. Infliximab is prescribed based on specific treatment protocols, and stopping it could negatively impact disease management. Infliximab can be taken regardless of food intake, so it's not necessary to take it with food or milk. Infliximab is an immunosuppressive medication, which increases the risk of infections. Teaching the client and caregivers about the importance of hand hygiene is essential in preventing infections. There is no requirement for the drug to be given specifically in the morning. It can be given according to the prescribed schedule, typically at intervals based on disease management.
Question 2 of 5
Which nursing action should the nurse implement to prevent wound dehiscence in the postoperative client?
Correct Answer: B
Rationale: Splinting the incision (
B) reduces dehiscence risk. Vitamin C (
A), abdominal exercises (
C), and range of motion (
D) are less effective.
Question 3 of 5
A nurse is assessing a newly admitted client whose chief complaint is "coughing up blood" and whose recent history includes a productive cough and night sweats. What is the nurse's priority intervention?
Correct Answer: D
Rationale: Symptoms suggest tuberculosis, requiring airborne precautions (
D) to prevent spread. Droplet precautions (
A) are insufficient, standard precautions (
B) are inadequate, and positive pressure rooms (C, E) are inappropriate.
Question 4 of 5
Which of the following would the nurse discuss as common triggers for a client newly diagnosed with asthma? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D
Rationale: Exercise (
A), pollen (
B), dander (
C), and stress (
D) trigger asthma. Travel (E) is not a direct trigger.
Question 5 of 5
The nurse understands that the placement of a pillow under the knee of a client with a total knee replacement is contraindicated because it will:
Correct Answer: B
Rationale: While pain may increase if the knee is positioned improperly, the primary concern is the development of a contracture. Placing a pillow under the knee after total knee replacement can promote a flexion contracture, which results in the inability to fully extend the knee. This is undesirable as it can limit mobility and function post-surgery. The pillow does not stop circulation to the extremity directly. A pillow under the knee is not typically associated with skin breakdown unless the client is immobile for extended periods, but the risk of contracture is a more immediate concern.