ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
The client diagnosed with pneumonia develops pleuritic chest pain. Which nursing action should the nurse implement at this time?
Correct Answer: C
Rationale: Splinting the chest (
C) reduces pleuritic pain. Notifying physician (
A), increasing oxygen (
B), or ECG (
D) are not primary interventions.
Question 2 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 3 of 5
The nurse is evaluating the arterial blood gas (ABG) of a client who was admitted in status asthmaticus. Which ABG result would indicate the client has an improved acid-base status?
Correct Answer: A
Rationale: Normal pH and PaO2 (
A) indicate improved status. Hypoxemia (
B), alkalosis (
C), and acidosis (
D) suggest ongoing issues.
Question 4 of 5
A client fractured the right ankle which was casted with a plaster of Paris cast. Before discharge, the nurse gives instructions for cast care. Which statement made by the client indicates that further teaching is needed?
Correct Answer: B
Rationale: Wiggling toes promotes circulation and helps detect any tightness or swelling in the cast. Inserting objects into the cast, such as a chopstick, to relieve an itch can cause injury or damage to the skin or the cast itself. Monitoring sensations in the foot is crucial to identify any issues such as decreased circulation or increased pressure. Noticing hot spots on the cast is important as it may indicate irritation or infection beneath the cast.
Question 5 of 5
The nurse teaches a client that which factor might increase the risk of developing an exacerbation of systemic lupus erythematous (SLE)
Correct Answer: C
Rationale: Hypotension is not associated with SLE exacerbation. Heartburn is not a trigger for SLE flares. Fever can indicate infection or inflammation, common triggers for SLE exacerbations. Gout is unrelated to SLE exacerbation.