ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
The client with right lower lobe pneumonia has been treated with intravenous antibiotics for three days. Which assessment data obtained by the nurse indicates that the treatment has been effective?
Correct Answer: B
Rationale: Normal WBC count (
B) indicates resolving infection. Low oximetry (
A), bronchial sounds (
C), and yellow sputum (
D) suggest ongoing issues.
Question 2 of 5
The nurse is reviewing newly written prescriptions for a client diagnosed with acute bronchitis. The client has a productive cough with green sputum and shortness of breath. The nurse would question the primary care provider regarding which medication order?
Correct Answer: D
Rationale: Dextromethorphan (
D) suppresses productive cough, hindering clearance. Albuterol (
A), guaifenesin (
B), and methylprednisolone (
C) aid symptom relief.
Question 3 of 5
What information would be important for the nurse to reinforce when teaching a pre-operative client about the correct use of the patient-controlled analgesia (PCA) device to achieve the best outcome?
Correct Answer: D
Rationale: Pressing PCA when pain begins (
D) prevents severe pain. Delaying (
A), others pressing (
B), or routine pressing (
C) risks inadequate/excessive dosing.
Question 4 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 5 of 5
The nurse understands that the placement of a pillow under the knee of a client with a total knee replacement is contraindicated because it will:
Correct Answer: B
Rationale: While pain may increase if the knee is positioned improperly, the primary concern is the development of a contracture. Placing a pillow under the knee after total knee replacement can promote a flexion contracture, which results in the inability to fully extend the knee. This is undesirable as it can limit mobility and function post-surgery. The pillow does not stop circulation to the extremity directly. A pillow under the knee is not typically associated with skin breakdown unless the client is immobile for extended periods, but the risk of contracture is a more immediate concern.