ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?
Correct Answer: B
Rationale: Measuring the circumference of the thigh can help assess swelling but does not directly evaluate neurovascular status. Asking the client to wiggle toes assesses motor function and nerve integrity, crucial components of neurovascular assessment. Monitoring for edema is important but does not provide specific information about neurovascular status. Palpating the femoral pulse helps evaluate circulation but is less specific than assessing distal motor function.
Question 2 of 5
The purpose of the nurse providing pre-operative teaching to clients undergoing surgery is to:
Correct Answer: C
Rationale: Pre-operative teaching improves post-operative outcomes (
C). Time-outs (
A), consent (
B), and collaboration (
D) are secondary.
Question 3 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 4 of 5
The nurse must administer 1600 mL of total parenteral nutrition (TPN) over 24 hours. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest tenth, do not use trailing zeros, use a leading zero if it applies)
Correct Answer: 66.7 mL/hr
Rationale: 1600 mL ÷ 24 hr = 66.7 mL/hr (
A).
Question 5 of 5
The client diagnosed with pneumonia develops pleuritic chest pain. Which nursing action should the nurse implement at this time?
Correct Answer: C
Rationale: Splinting the chest (
C) reduces pleuritic pain. Notifying physician (
A), increasing oxygen (
B), or ECG (
D) are not primary interventions.