ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse gives metoprolol 25 mg PO BID to a client who has coronary artery disease. The nurse understands that the primary use of this medication is to:
Correct Answer: A
Rationale: Metoprolol, a beta-blocker, reduces heart rate and myocardial oxygen demand, effectively decreasing the cardiac workload. Metoprolol does not primarily dilate coronary arteries. While it can help manage dysrhythmias, its main purpose is to reduce cardiac workload. Metoprolol does not increase the strength of myocardial contraction; it may reduce it slightly to decrease oxygen demand.
Question 2 of 5
The patient is post-op day 1 of a right total hip replacement. What precautions are necessary to prevent complications? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D,E
Rationale: An adductor pillow helps maintain proper alignment and prevents the hip from crossing the midline (adduction). Limiting hip flexion to 90 degrees prevents dislocation by avoiding positions that could stress the hip joint. A fracture pan is not a necessary precaution for a total hip replacement; it is more relevant for clients with fractures. Adduction should be avoided to prevent the hip from dislocating. Internal rotation can cause the hip to dislocate, so it should be avoided.
Question 3 of 5
Which of these deformities is associated with osteoarthritis? (SELECT ALL THAT APPLY)
Correct Answer: D,E
Rationale: Inflammation of the lungs: This is not associated with osteoarthritis but could indicate other conditions such as rheumatoid arthritis or systemic diseases. Tender and warm joints: These are more typical of inflammatory conditions like rheumatoid arthritis. Nodules on the skin: Nodules are common in rheumatoid arthritis, not osteoarthritis. Pain and stiffness of joints: Osteoarthritis is characterized by joint pain and stiffness, especially after inactivity or overuse. Swelling of joints affected: Swelling occurs due to inflammation and changes in the joint structure associated with osteoarthritis.
Question 4 of 5
Which of the following would the nurse discuss as common triggers for a client newly diagnosed with asthma? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D
Rationale: Exercise (
A), pollen (
B), dander (
C), and stress (
D) trigger asthma. Travel (E) is not a direct trigger.
Question 5 of 5
A client with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:
Correct Answer: C
Rationale: The drug should not be held based on how the client feels. Infliximab is prescribed based on specific treatment protocols, and stopping it could negatively impact disease management. Infliximab can be taken regardless of food intake, so it's not necessary to take it with food or milk. Infliximab is an immunosuppressive medication, which increases the risk of infections. Teaching the client and caregivers about the importance of hand hygiene is essential in preventing infections. There is no requirement for the drug to be given specifically in the morning. It can be given according to the prescribed schedule, typically at intervals based on disease management.