ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
The circulating nurse notes in the nutritional assessment of the client who is scheduled for total hip replacement surgery that the client is 20 lbs (9.07 kg) underweight for their height. The nurse should:
Correct Answer: D
Rationale: Notifying the surgeon (
D) addresses underweight status impacting surgery. Weighing (
A), padding (
B), and straps (
C) are secondary.
Question 2 of 5
A client describes low back pain that radiates down one leg. Which factors that aggravate the pain increase the likelihood that this client has a herniated disc? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D
Rationale: Dancing, although it can involve movement and stress on the body, is not as directly associated with aggravating a herniated disc compared to the other listed factors. Sneezing and coughing can increase intra-abdominal pressure and aggravate a herniated disc by putting more stress on the affected area of the spine. Lifting a heavy box from a high position requires bending and twisting, which can exacerbate a herniated disc. Prolonged standing or sitting can increase pressure on the spine, especially in the lower back, and aggravate symptoms of a herniated disc. Lying down generally relieves pressure on the spine and is less likely to aggravate a herniated disc.
Question 3 of 5
When the nurse admits a client with anorexia nervosa for treatment, what factors should the therapeutic milieu provide? (SELECT ALL THAT APPLY)
Correct Answer: A,C,E
Rationale: Observation during and after meals is essential to prevent purging behaviors and to ensure the client is eating and not engaging in unhealthy behaviors. Unscheduled weight checks could increase anxiety and are not typically part of a structured treatment approach. Monitoring bathroom trips is important to prevent purging behaviors, such as vomiting, after meals. Meals should be offered on a regular schedule to promote healthy eating habits and avoid the unpredictability that can lead to eating disorder behaviors. Adherence to scheduled meal times helps provide structure and consistency for the client, which is crucial for managing anorexia nervosa.
Question 4 of 5
The nurse recognizes that the client is manifesting early signs of hypoxia with findings of:
Correct Answer: D
Rationale: Restlessness, confusion, and tachycardia (
D) are early hypoxia signs. Bradycardia (A,
C) and cyanosis (B,
C) are later, and vomiting (
B) is unrelated.
Question 5 of 5
A nurse is caring for a client postoperative closed reduction of the left ankle with a short cast in place. Which assessments of the client's affected leg should the nurse make? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D,E
Rationale: Capillary refill is a key indicator of circulation to the affected area. It should be assessed to ensure adequate perfusion. Pain assessment is critical for identifying any complications such as compartment syndrome or inadequate pain management. The ability to move the toes helps assess for nerve function and mobility. Posterior tibialis and pedal pulses assess the circulation and can help identify signs of vascular compromise. Skin temperature and color help identify signs of poor circulation, swelling, or potential complications like compartment syndrome.