ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client with osteoarthritis. The nurse should expect which findings with this disease process?
Correct Answer: B
Rationale: Swan-neck deformities are associated with rheumatoid arthritis, not osteoarthritis. Osteoarthritis often presents with joint swelling, pain, and the formation of bony enlargements, particularly at the knees. A painful, hot right great toe suggests gout, not osteoarthritis. Hot, red, swollen joints are characteristic of inflammation in conditions like rheumatoid arthritis, not osteoarthritis.
Question 2 of 5
The nurse is preparing to teach a client how to effectively perform pursed-lip breathing. The nurse would include which intervention in the teaching?
Correct Answer: D
Rationale: Exhaling slowly through pursed lips (
D) improves ventilation. Quick exhalation (
A), huff inhalation (
B), and pursed-lip inhalation (
C) are incorrect.
Question 3 of 5
A client who receives an antihypertensive medication daily is NPO except medications for surgery. The most recent blood pressure recording is 174/88. What action should the nurse take first?
Correct Answer: D
Rationale: Administering antihypertensive (
D) addresses high blood pressure. Notifying (
A), documenting (
B), and relaxation (
C) are secondary.
Question 4 of 5
The nurse is caring for a client who has sustained multiple injuries, including a fractured pelvis and femur. Two days later, the client becomes restless and confused. The nurse notes petechiae on the client's neck and chest. The nurse should expect which physician order?
Correct Answer: B
Rationale: Enzymatic medications are not relevant to this condition. Oxygen therapy is critical as these symptoms suggest fat embolism syndrome, which impairs oxygenation. Anticoagulation therapy is not appropriate for fat embolism syndrome, which differs from thromboembolism. Physical therapy is not an immediate intervention for this acute condition.
Question 5 of 5
Which is the best method for the nurse to correctly identify a client prior to surgery?
Correct Answer: C
Rationale: Checking armband and asking name, date of birth, and site (
C) ensures accurate identification. Other methods (A, B,
D) are less comprehensive.