ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
The client has right lower lobe pneumonia with a non-productive cough. Which intervention is the nurse's priority?
Correct Answer: B
Rationale: Fluids (
B) thin mucus for clearance. Suctioning (
A) is unnecessary for non-productive cough, right side-lying (
C) may worsen drainage, and codeine (
D) suppresses cough.
Question 2 of 5
Which of these education points would be MOST helpful for the nurse give to a individual with osteoarthritis? (SELECT ALL THAT APPLY)
Correct Answer: B,D,E
Rationale: Physical activity should be encouraged to maintain mobility, not limit it. A bed cage can help alleviate pain by preventing linens from touching sensitive areas. Osteoarthritis involves the breakdown of cartilage, not an autoimmune attack on the joint lining. Injectable corticosteroids are used when NSAIDs are ineffective. Gradual weight loss reduces stress on weight-bearing joints, alleviating symptoms.
Question 3 of 5
The nurse recognizes the assessment data which best indicates that the client diagnosed with asthma is achieving good control with the prescribed medication regimen is when:
Correct Answer: B
Rationale: Green zone PEFR (
B) indicates good asthma control. Clear lungs (
A) are supportive, but shortness of breath (
C) and exacerbations (
D) suggest poor control.
Question 4 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 5 of 5
The nurse recognizes which of the following tests will confirm the diagnosis of tuberculosis for a client?
Correct Answer: A
Rationale: Sputum culture (
A) is definitive for TB. PPD (
B), AFB smear (
C), and chest X-ray (
D) are supportive but not confirmatory.