ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that they have a frequent productive cough and shortness of breath. The nurse should anticipate which of the following assessment findings for this client?
Correct Answer: B
Rationale: Oxygen saturation below 95% (
B) is common due to impaired gas exchange in COPD. Decreased anteroposterior diameter (
A) is incorrect as COPD often causes a barrel chest. Petechiae (
C) are unrelated, and respiratory alkalosis (
D) is less likely than acidosis due to CO2 retention.
Question 2 of 5
The nurse is caring for a client newly diagnosed with Clostridium difficile. This client should be placed on which type of precautions?
Correct Answer: C
Rationale: Neutropenic precautions are for immunocompromised clients to prevent infections. Airborne precautions are for pathogens spread through the air. Contact precautions prevent the spread of infections through direct or indirect contact. Droplet precautions are for pathogens spread through large droplets.
Question 3 of 5
The nurse is caring for a client recently diagnosed with emphysema. What information, regarding health maintenance, would the nurse include in teaching sessions? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D,E
Rationale: Small meals (
B), oxygen (
C), smoking cessation (
D), and exercise (E) manage emphysema. Avoiding grandchildren (
A) is unnecessary.
Question 4 of 5
Which interventions should be included in discharge teaching for a client who has had a total hip replacement? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C
Rationale: Gradually increasing activity helps in recovery and prevents complications like blood clots. Having the client demonstrate the use of assistive devices ensures proper use and safety during ambulation. Using an abductor pillow helps maintain hip alignment and prevents dislocation while turning in bed. Open-toed house shoes are not recommended as they do not provide adequate support or protection. It is important for the client to manage pain appropriately, including taking medication before activities such as walking.
Question 5 of 5
A client with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:
Correct Answer: C
Rationale: The drug should not be held based on how the client feels. Infliximab is prescribed based on specific treatment protocols, and stopping it could negatively impact disease management. Infliximab can be taken regardless of food intake, so it's not necessary to take it with food or milk. Infliximab is an immunosuppressive medication, which increases the risk of infections. Teaching the client and caregivers about the importance of hand hygiene is essential in preventing infections. There is no requirement for the drug to be given specifically in the morning. It can be given according to the prescribed schedule, typically at intervals based on disease management.