ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse has applied a client problem of ineffective gas exchange for a client diagnosed with chronic bronchitis. Which intervention would the nurse include in the plan of care?
Correct Answer: D
Rationale: Coughing and deep breathing (
D) improve gas exchange. High SpO2 (
A), Sims position (
B), and peak flow (
C) are less effective.
Question 2 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.
Question 3 of 5
The circulating nurse notes in the nutritional assessment of the client who is scheduled for total hip replacement surgery that the client is 20 lbs (9.07 kg) underweight for their height. The nurse should:
Correct Answer: D
Rationale: Notifying the surgeon (
D) addresses underweight status impacting surgery. Weighing (
A), padding (
B), and straps (
C) are secondary.
Question 4 of 5
A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that they have a frequent productive cough and shortness of breath. The nurse should anticipate which of the following assessment findings for this client?
Correct Answer: B
Rationale: Oxygen saturation below 95% (
B) is common due to impaired gas exchange in COPD. Decreased anteroposterior diameter (
A) is incorrect as COPD often causes a barrel chest. Petechiae (
C) are unrelated, and respiratory alkalosis (
D) is less likely than acidosis due to CO2 retention.
Question 5 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.