ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse evaluates the client's recall of the instructions about gout. Which response would indicate that the client understands the therapeutic regimen? 'I:
Correct Answer: C
Rationale: Weight gain can worsen gout by increasing joint stress and uric acid levels. Climate change is not a treatment or preventive measure for gout. Avoiding wine is correct as alcohol, especially beer and wine, can trigger gout flares. Discontinuing Allopurinol abruptly can lead to worsening of gout symptoms.
Question 2 of 5
A client newly diagnosed with asthma is being given discharge instructions. The nurse works collaboratively with the client, instructing the client to use a metered dose inhaler (MDI). What is the first priority and last priority step in the procedure?
Correct Answer: D
Rationale: Removing cap and shaking (
D) prepares the inhaler; rinsing prevents thrush. Holding breath (
A), mouthpiece placement (
B), and canister pressing (
C) are intermediate.
Question 3 of 5
The nurse is planning the care of a client diagnosed with emphysema. The client is not currently reporting increased dyspnea, but the nurse has noted the client is anxious. Which nursing intervention(s) should be implemented?
Correct Answer: D
Rationale: Comfort measures (
D) address anxiety non-pharmacologically. Inhalers/oxygen (
A), lorazepam (
B), or napping (
C) are less immediate.
Question 4 of 5
A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?
Correct Answer: C
Rationale: Providing reassurance is important but not as urgent as assessing neurovascular status. Discharge instructions are necessary but can wait until the client's immediate safety is ensured. The priority is to ensure that the circulation, sensation, and movement of the affected limb are intact, which helps identify potential complications like compartment syndrome early. Applying ice can help with swelling but is secondary to ensuring neurovascular integrity.
Question 5 of 5
A client diagnosed with cervical spine degeneration has undergone a laminectomy. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Measuring drainage from the Jackson-Pratt drain is important, but this is not the primary intervention to address post-laminectomy complications. The patient should generally be positioned in a neutral, stable position, but not specifically prone with knees elevated, which may be uncomfortable or inappropriate for the cervical region. Narcotics may be required for pain control, especially postoperatively, so advising the patient to avoid them is inappropriate. Following a cervical spine laminectomy, the nurse should assess the client for any signs of nerve or spinal cord injury, such as difficulty speaking or breathing. These symptoms may indicate spinal cord compression or other complications.