ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication?
Correct Answer: C
Rationale: Constipation is not a common side effect of aspirin. Insomnia is not typically associated with aspirin. Aspirin can cause gastrointestinal bleeding and increase bleeding risk due to its antiplatelet effects. Blurred vision is not a common adverse effect of aspirin.
Question 2 of 5
The nurse understands that the placement of a pillow under the knee of a client with a total knee replacement is contraindicated because it will:
Correct Answer: B
Rationale: While pain may increase if the knee is positioned improperly, the primary concern is the development of a contracture. Placing a pillow under the knee after total knee replacement can promote a flexion contracture, which results in the inability to fully extend the knee. This is undesirable as it can limit mobility and function post-surgery. The pillow does not stop circulation to the extremity directly. A pillow under the knee is not typically associated with skin breakdown unless the client is immobile for extended periods, but the risk of contracture is a more immediate concern.
Question 3 of 5
The nurse gives metoprolol 25 mg PO BID to a client who has coronary artery disease. The nurse understands that the primary use of this medication is to:
Correct Answer: A
Rationale: Metoprolol, a beta-blocker, reduces heart rate and myocardial oxygen demand, effectively decreasing the cardiac workload. Metoprolol does not primarily dilate coronary arteries. While it can help manage dysrhythmias, its main purpose is to reduce cardiac workload. Metoprolol does not increase the strength of myocardial contraction; it may reduce it slightly to decrease oxygen demand.
Question 4 of 5
The nurse caring for a patient who has severe osteoporosis. On inspection, the patient has severe kyphosis of the upper back. Which nursing problem takes priority for this patient's care?
Correct Answer: A
Rationale: Severe kyphosis and osteoporosis increase the risk of falls, which can lead to fractures, making fall prevention the highest priority. While important, education is not the immediate priority compared to preventing falls. Skin breakdown is a concern but is not as critical as the immediate risk of injury from falls. Limited mobility is a concern but secondary to the risk of falls.
Question 5 of 5
The nurse receives an order to administer drug R 300 mg IVPB over one hour. Drug R is available as 300 mg in 100 mL NSS. The drip factor of the piggyback tubing is 15 gtts/mL. At what rate should the nurse regulate the IV flow?
Correct Answer: 25 gtts/min.
Rationale: Flow rate: (100 mL × 15 gtts/mL) ÷ 60 min = 25 gtts/min (
A).