ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is attempting to assist a cognitively-impaired adult to maintain bladder continence. Which intervention is most appropriate?
Correct Answer: B
Rationale: Incontinence briefs are appropriate for overnight use but do not encourage independence in bladder management during the day. Providing easy-to-remove clothing is a practical intervention that enhances the client's independence in managing toileting, especially if they have cognitive impairments. It ensures that the client can quickly respond to the urge to urinate. Explaining the use of a call bell is helpful but may not be the most appropriate approach for a cognitively-impaired client who may forget or struggle with communication. Asking the client every two hours if they need to urinate is helpful but may not be as effective as providing easy access to clothing for quick toileting.
Question 2 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 3 of 5
Which of the following is a characteristic of a Venturi mask?
Correct Answer: C
Rationale: Venturi masks provide precise oxygen concentrations (
C). Rebreathing (
A), high flow (
B), and independence (
D) are incorrect.
Question 4 of 5
The nurse is completing an admission assessment on a client diagnosed with asthma. What clinical manifestations are typical of the disorder?
Correct Answer: B
Rationale: Dyspnea and wheezing (
B) are hallmark asthma symptoms. Fever and bradypnea (
A), crackles and productive cough (
C), and normal chest with orthopnea (
D) are atypical.
Question 5 of 5
A client with left lower lobe pneumonia has activity intolerance related to impaired oxygen supply and demand as evidenced by fatigue, dyspnea, and difficulty performing self-care. Which expected outcome must be included in the care plan related to this problem? The client will:
Correct Answer: C
Rationale: Performing self-care without dyspnea (
C) addresses activity intolerance. Oximetry (
A), respiratory rate (
B), and clear breath sounds (
D) are less specific.