ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client about avoiding a gout attack. In evaluating the client's recall of a low purine diet, which dietary choice would indicate to the nurse that the client needs more teaching?
Correct Answer: C
Rationale: Fried chicken is not considered a high-purine food, though fried foods should be eaten in moderation for general health. Baked chicken with broccoli and baked potato is a low-purine meal, suitable for managing gout. Anchovies are high in purines, which can increase uric acid levels and trigger a gout attack. A low-purine diet should avoid foods high in purines, including organ meats, Treasured meat, shellfish, and certain fish like anchovies. Turkey burger with coleslaw and baked chips is also appropriate for a low-purine diet, as turkey is a lean meat and doesn't significantly elevate uric acid levels.
Question 2 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.
Question 3 of 5
The nurse is attempting to assist a cognitively-impaired adult to maintain bladder continence. Which intervention is most appropriate?
Correct Answer: B
Rationale: Incontinence briefs are appropriate for overnight use but do not encourage independence in bladder management during the day. Providing easy-to-remove clothing is a practical intervention that enhances the client's independence in managing toileting, especially if they have cognitive impairments. It ensures that the client can quickly respond to the urge to urinate. Explaining the use of a call bell is helpful but may not be the most appropriate approach for a cognitively-impaired client who may forget or struggle with communication. Asking the client every two hours if they need to urinate is helpful but may not be as effective as providing easy access to clothing for quick toileting.
Question 4 of 5
The nurse is assisting the client with arm and shoulder exercises on the first post-op day following a right-sided thoracotomy. The client reports pain with the exercise and wants to know why they must be performed. What explanation should the nurse provide? The exercises:
Correct Answer: C
Rationale: Exercises prevent stiffening and maintain function (
C). They don't primarily increase blood flow (
A), expand the left lung (
B), or rebuild muscle (
D).
Question 5 of 5
The client diagnosed with pneumonia asks the nurse, "Why did my physician order chest physiotherapy (CPT) for me?" Which response by the nurse is most accurate? Chest physiotherapy will:
Correct Answer: C
Rationale: CPT loosens secretions (
C) to improve ventilation. Ciliary movement (
A), deep breathing (
B), and oxygen supply (
D) are secondary.