ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A patient is prescribed alendronate at 0800 for the treatment of osteoporosis. As the nurse you know you must administer this medication:
Correct Answer: C
Rationale: The patient should not lie down after taking alendronate, as it increases the risk of esophageal irritation. Alendronate should be taken on an empty stomach, and while dairy products should generally be avoided when taking certain medications, this specific instruction applies more to calcium or iron supplements. Alendronate should be taken on an empty stomach, ideally first thing in the morning, with a full glass of water to enhance absorption. The patient must remain upright for 30 minutes to prevent esophageal irritation and reduce the risk of esophageal ulcers. The medication should not be taken with milk or juice, as they can interfere with absorption.
Question 2 of 5
The nurse recognizes that the goals of teaching about the transmission of tuberculosis have been met when the client with tuberculosis:
Correct Answer: A
Rationale: Covering the mouth (
A) prevents TB spread. Reporting (
B), N95 mask (
C), and washing items (
D) are less critical for transmission.
Question 3 of 5
A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is started on ethambutol therapy. The nurse should understand that which of the following should be monitored?
Correct Answer: B
Rationale: Ethambutol can cause optic neuropathy; visual acuity (
B) must be monitored. Skin color (
A), cardiac rhythm (
C), and urine output (
D) are not primary concerns.
Question 4 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 5 of 5
A client with newly diagnosed rheumatoid arthritis asks the nurse what happens to the joint with this disease. Which explanation by the nurse is most accurate?
Correct Answer: D
Rationale: This description is more characteristic of osteoarthritis, where cartilage wear and tear occur. This explanation is more related to chronic pain syndromes, not specifically RA. The presence of crystals in the joint is a characteristic of gout, not RA. Rheumatoid arthritis (R
A) is an autoimmune condition in which the body's immune system attacks the synovial lining of the joints, causing inflammation, pain, and eventually joint destruction.