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ATI n200 Med Surg Exam Questions

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Question 1 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 2 of 5

The prescription states: "Give drug D 0.5 mg/kg of body weight PO three times a day." The client's weight is 90 kg. Drug D is available from the pharmacy as 25 mg per 5 mL. How many mL will the client receive per 1 dose? (Use preceding zeros if necessary. Do not use trailing zeros. Round to the nearest tenth if necessary.)

Correct Answer: 9.0 mL

Rationale: 0.5 mg/kg × 90 kg = 45 mg; 45 ÷ (25 mg/5 mL) = 9.0 mL (
A).

Question 3 of 5

Which of these education points would be MOST helpful for the nurse give to a individual with osteoarthritis? (SELECT ALL THAT APPLY)

Correct Answer: B,D,E

Rationale: Physical activity should be encouraged to maintain mobility, not limit it. A bed cage can help alleviate pain by preventing linens from touching sensitive areas. Osteoarthritis involves the breakdown of cartilage, not an autoimmune attack on the joint lining. Injectable corticosteroids are used when NSAIDs are ineffective. Gradual weight loss reduces stress on weight-bearing joints, alleviating symptoms.

Question 4 of 5

The nurse is assessing the client and notes fine crackles throughout the lungs bilaterally. This assessment finding is often associated with:

Correct Answer: A

Rationale: Fine crackles (
A) are common in bronchitis due to mucus. Pneumothorax (
B), asthma (
C), and emphysema (
D) have different sounds.

Question 5 of 5

The priority nursing intervention for a client who has a serum sodium level of 154 mEq/L would be:

Correct Answer: C

Rationale: Fluid restriction (
C) corrects hypernatremia. Cardiac monitoring (
A), breath sounds (
B), and safety precautions (
D) are secondary.

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