ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
The experienced nurse understands that the student nurse may require additional instruction regarding proper respiratory assessment techniques when the nurse observes the student: (SELECT ALL THAT APPLY)
Correct Answer: B,C
Rationale: Rapid breathing (
B) distorts breath sounds, and listening through clothing (
C) reduces accuracy. Full respirations (
A), slow deep breaths (D, ideally through the mouth), and assessing both phases (E) are correct techniques.
Question 2 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 3 of 5
A client asks the nurse why the physician has advised her to walk for 30 minutes three times a week to help prevent osteoporosis. The nurse's best response is that walking:
Correct Answer: B
Rationale: Vitamin D absorption is more directly influenced by sunlight exposure and dietary intake. Walking, a weight-bearing exercise, helps stimulate bone formation and maintain bone density. Walking does not influence estrogen levels, which are primarily related to hormonal changes. Although walking can aid in weight loss, its primary benefit in this context is improving bone health.
Question 4 of 5
A client in DKA is ordered regular insulin at 5 units per hour for the current blood glucose level. The institution protocol is to add 125 units of regular insulin to a 250 mL bag of normal saline. What is the correct rate for the nurse to set the IV pump for this dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 10 mL/hr.
Rationale: 125 units in 250 mL = 0.5 units/mL; 5 units ÷ 0.5 units/mL = 10 mL/hr (
A).
Question 5 of 5
A nurse is caring for a client with osteoarthritis. The nurse should expect which findings with this disease process?
Correct Answer: B
Rationale: Swan-neck deformities are associated with rheumatoid arthritis, not osteoarthritis. Osteoarthritis often presents with joint swelling, pain, and the formation of bony enlargements, particularly at the knees. A painful, hot right great toe suggests gout, not osteoarthritis. Hot, red, swollen joints are characteristic of inflammation in conditions like rheumatoid arthritis, not osteoarthritis.