Questions 127

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ATI N200 Med Surg Exam Questions

Extract:


Question 1 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 2 of 5

The nurse recognizes the assessment data which best indicates that the client diagnosed with asthma is achieving good control with the prescribed medication regimen is when:

Correct Answer: B

Rationale: Green zone PEFR (
B) indicates good asthma control. Clear lungs (
A) are supportive, but shortness of breath (
C) and exacerbations (
D) suggest poor control.

Question 3 of 5

A client has been prescribed a full liquid diet following surgery. Which items should the nurse remove from the client's tray? (SELECT ALL THAT APPLY)

Correct Answer: B,D

Rationale: Vanilla ice cream is appropriate for a full liquid diet. Pureed bananas are not allowed as they are not fully liquid. Coffee is allowed on a full liquid diet. Chicken noodle soup with diced vegetables is not suitable as it contains solid pieces. Green JELLO is considered part of a full liquid diet.

Question 4 of 5

The nurse is giving medications using the client's feeding tube. Which medication cannot be delivered in this way?

Correct Answer: A

Rationale: Nifedipine XL (extended-release) should not be crushed as it alters the medication release mechanism. Diltiazem can be given via a feeding tube if it is in an appropriate form. Acetaminophen is available in a form suitable for feeding tubes. Furosemide can be administered via a feeding tube.

Question 5 of 5

A nurse is caring for a client who is experiencing acute back pain and who was given a medical prescription for a nonsteroidal anti-inflammatory agent (NSAID). The nurse would monitor the client for which symptom?

Correct Answer: A

Rationale: Black, tarry stools indicate gastrointestinal bleeding, a common side effect of NSAIDs. Constipation is not a typical side effect of NSAIDs. Nasal congestion is unrelated to NSAID use. Weight loss is not a primary concern with NSAID use but may result from prolonged gastrointestinal issues.

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