ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
The client has been diagnosed with rheumatoid arthritis and asks, 'What impact will this have on my activities of daily living in the years to come?' What is the best response by the nurse?
Correct Answer: B
Rationale: Suggesting remedies prematurely without fully understanding the client's concerns might not address their specific needs. The best response is to encourage open communication by acknowledging the client's concerns and fostering a discussion. This approach helps the nurse understand the client's worries and provide tailored information about rheumatoid arthritis and its potential impact on daily life. The progression of rheumatoid arthritis is variable and can affect activities of daily living more noticeably over time; it's not always subtle. While predicting disease outcomes can be difficult, giving a more open response like option B will foster better communication and support.
Question 2 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 3 of 5
Which of the following teaching instructions should be included for the patient with newly prescribed opioid analgesic for pain? (SELECT ALL THAT APPLY)
Correct Answer: B,C,E
Rationale: A diet high in fiber is important to prevent constipation, a common side effect of opioid use. Adequate fluid intake helps to prevent dehydration and constipation. Taking a stool softener daily can help mitigate the constipating effects of opioids. While dizziness can occur, clients should be encouraged to maintain an appropriate level of activity with precautions. Taking the opioid with a full glass of water and sitting upright can help prevent esophageal irritation and ensure proper swallowing of the medication.
Question 4 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 5 of 5
The nurse is presenting a community health program on fracture risk reduction. Which topics should be included? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D,E
Rationale: Recreational drug use does not directly relate to fracture prevention and is less relevant for a fracture risk reduction program. The use of seatbelts helps reduce the risk of fractures during vehicle accidents, a common cause of trauma. Osteoporosis screening is important for identifying individuals at higher risk for fractures due to bone weakness. Helmets protect against head injuries, which can result in fractures, particularly in activities like biking or skating. Fall prevention strategies are crucial in reducing fracture risk, especially in older adults or those with osteoporosis.