ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has osteoporosis and a new prescription for the biphosphonate alendronate. Which of the following instructions should the nurse provide? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D
Rationale: Alendronate should be taken in the morning on an empty stomach to ensure proper absorption. Tingling around the mouth and nose is not a typical or expected side effect of alendronate. Lying down after taking alendronate can cause esophageal irritation, so the client should remain upright for at least 30 minutes. Drinking water helps with swallowing and ensures the medication reaches the stomach. Chewing alendronate tablets is contraindicated, as it can increase the risk of esophageal irritation.
Question 2 of 5
While assessing a client with status asthmaticus, the nurse notes diminished breath sounds in all lung fields and the client is becoming confused. The nurse should prepare the client for:
Correct Answer: B
Rationale: Severe respiratory failure (diminished sounds, confusion) requires mechanical ventilation (
B). Testing (
A), x-ray (
C), and low-flow oxygen (
D) are inadequate.
Question 3 of 5
The client has been diagnosed with rheumatoid arthritis and asks, 'What impact will this have on my activities of daily living in the years to come?' What is the best response by the nurse?
Correct Answer: B
Rationale: Suggesting remedies prematurely without fully understanding the client's concerns might not address their specific needs. The best response is to encourage open communication by acknowledging the client's concerns and fostering a discussion. This approach helps the nurse understand the client's worries and provide tailored information about rheumatoid arthritis and its potential impact on daily life. The progression of rheumatoid arthritis is variable and can affect activities of daily living more noticeably over time; it's not always subtle. While predicting disease outcomes can be difficult, giving a more open response like option B will foster better communication and support.
Question 4 of 5
A patient with fluid volume deficit must receive a 250 mL IV bolus of NS over 25 minutes via a peripherally inserted central line (PICC) on an IV pump. At what rate will the nurse program the pump? Round to the nearest whole number. Do not use trailing zeros.
Correct Answer: 600 mL/hr
Rationale: Calculate the desired flow rate (mL/hr): Desired flow rate (mL/hr) =
Total volume (mL) / Infusion time (hours). Desired flow rate (mL/hr) = 250 mL / 25 minutes. Desired flow rate (mL/hr) = 10 mL/minute. Convert mL/minute to mL/hour: 10 mL/minute * 60 minutes/hour = 600 mL/hour.
Therefore, the nurse should program the IV pump to deliver the 250 mL bolus of NS at a rate of 600 mL/hour.
Question 5 of 5
The nurse evaluates the client's recall of the instructions about gout. Which response would indicate that the client understands the therapeutic regimen? 'I:
Correct Answer: C
Rationale: Weight gain can worsen gout by increasing joint stress and uric acid levels. Climate change is not a treatment or preventive measure for gout. Avoiding wine is correct as alcohol, especially beer and wine, can trigger gout flares. Discontinuing Allopurinol abruptly can lead to worsening of gout symptoms.