ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
An older adult client with chronic respiratory disease tells the nurse it is unnecessary to receive the pneumococcal pneumonia vaccine because the influenza vaccine was just received two months ago. Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Influenza vaccine doesn't protect against bacterial pneumonia; pneumococcal vaccine (
A) is needed. Full protection (
B), flu causing pneumonia (
C), and carrier prevention (
D) are incorrect.
Question 2 of 5
The nurse is caring for a client who has remained in skeletal traction for an extended period of time. The nurse is assessing for signs/symptoms of complications of immobility. Included would be: (SELECT ALL THAT APPLY)
Correct Answer: A,D,E
Rationale: Prolonged immobility can lead to skin breakdown due to pressure and reduced circulation. Circulation typically worsens with immobility, not improves. Immobility usually decreases gastric motility, not increases it. Disuse atrophy occurs as muscles weaken from lack of use. Loss of appetite can occur due to reduced activity and metabolic rate.
Question 3 of 5
A client with left lower lobe pneumonia has activity intolerance related to impaired oxygen supply and demand as evidenced by fatigue, dyspnea, and difficulty performing self-care. Which expected outcome must be included in the care plan related to this problem? The client will:
Correct Answer: C
Rationale: Performing self-care without dyspnea (
C) addresses activity intolerance. Oximetry (
A), respiratory rate (
B), and clear breath sounds (
D) are less specific.
Question 4 of 5
A client is admitted with a dislocation of the right shoulder. The nurse knows this is an orthopedic emergency and that the priority for treatment will be:
Correct Answer: A
Rationale: The priority in treating a dislocated joint is to realign the dislocated bones to their proper position, which is crucial to prevent damage to the surrounding nerves, blood vessels, and muscles. This should be done promptly under medical supervision, often requiring sedation or pain management. Teaching the client to avoid contact sports is important for long-term care, but not an immediate priority in the acute phase. Applying a sling helps support the joint, but it is not the first priority; realignment of theJ
Question 5 of 5
A client in the beginning stages of an asthma attack has arterial blood gases that reveal the following results: pH 7.51, PaCO2 28 mmHg, PaO2 75 mmHg, O2 saturation 92%, HCO3 24 mEq/L. The nurse interprets this blood gas result as:
Correct Answer: C
Rationale: Elevated pH and low PaCO2 (
C) indicate respiratory alkalosis from hyperventilation. Metabolic alkalosis (
A), metabolic acidosis (
B), and respiratory acidosis (
D) don't match.