ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a herniated disc who has undergone a lumbar laminectomy and diskectomy at L4-5. When assisting the client to move in bed, the nurse should include what specific technique?
Correct Answer: D
Rationale: While bending the knees helps with body mechanics, twisting the spine should still be avoided. Moving the hips and legs first could lead to twisting the spine if not done correctly, so the spine must be kept aligned during all movements. The client should avoid pulling on side rails or assisting with movement until fully cleared by the physician, as this could put unnecessary strain on the spine. It is essential to maintain spinal alignment and prevent twisting of the spine during repositioning. The client should be turned as one unit to minimize strain on the healing vertebrae.
Question 2 of 5
The nurse recognizes that the goals of teaching about the transmission of tuberculosis have been met when the client with tuberculosis:
Correct Answer: A
Rationale: Covering the mouth (
A) prevents TB spread. Reporting (
B), N95 mask (
C), and washing items (
D) are less critical for transmission.
Question 3 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 4 of 5
A nurse is assessing a client on the first post-operative day after a L3-4 laminectomy and diskectomy. The client now complains of numbness and tingling in the left leg. What is the nurse's first priority?
Correct Answer: A
Rationale: The first priority is to assess whether the numbness and tingling in the left leg are new or a preexisting symptom. This helps identify if there are complications like nerve injury or issues with the surgical site. While documenting the findings is important, it's more critical to compare these new symptoms with preoperative findings to identify potential complications. Drawing blood for serum calcium is not directly relevant to the immediate issue of nerve symptoms after a laminectomy. Telling the client that the symptoms are normal could lead to delayed intervention if there is a more serious issue, like nerve damage or surgical complications.
Question 5 of 5
A client who is in the end stage of chronic bronchitis tells the nurse, "I don't know how my wife will manage without me." The most appropriate response by the nurse at this time is:
Correct Answer: D
Rationale: Encouraging discussion with the wife (
D) addresses emotional concerns. Clergy (
A), children (
B), and living will (
C) are less immediate.