ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client newly diagnosed with Clostridium difficile. This client should be placed on which type of precautions?
Correct Answer: C
Rationale: Neutropenic precautions are for immunocompromised clients to prevent infections. Airborne precautions are for pathogens spread through the air. Contact precautions prevent the spread of infections through direct or indirect contact. Droplet precautions are for pathogens spread through large droplets.
Question 2 of 5
A client is diagnosed with asthma. The therapeutic regimen using metered dose inhalers includes albuterol 2 puffs and beclomethasone 2 puffs. The nursing plan of care must include teaching regarding:
Correct Answer: B
Rationale: Rinsing after beclomethasone (
B) prevents oral thrush. Coughing (
A) isn't needed, beclomethasone is regular (
C), and albuterol goes first (
D).
Question 3 of 5
The nurse is performing a physical assessment on the respiratory system. Although the client is currently confined to bed, they have the strength and ability to move and reposition themselves. The nurse instructs the client to assume which position for the assessment?
Correct Answer: A
Rationale: Sitting upright (
A) optimizes lung expansion for assessment. Semi-Fowler's (
B), supine (
C), and side-lying (
D) limit accuracy.
Question 4 of 5
A nurse is caring for a client postoperative closed reduction of the left ankle with a short cast in place. Which assessments of the client's affected leg should the nurse make? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D,E
Rationale: Capillary refill is a key indicator of circulation to the affected area. It should be assessed to ensure adequate perfusion. Pain assessment is critical for identifying any complications such as compartment syndrome or inadequate pain management. The ability to move the toes helps assess for nerve function and mobility. Posterior tibialis and pedal pulses assess the circulation and can help identify signs of vascular compromise. Skin temperature and color help identify signs of poor circulation, swelling, or potential complications like compartment syndrome.
Question 5 of 5
The physician prescribed albuterol, beclomethasone, and zafirlukast for a client being discharged with asthma. The client tells the nurse he can't remember what to take before exercising. The best response by the nurse would be:
Correct Answer: C
Rationale: Albuterol (
C) prevents exercise-induced bronchoconstriction. Beclomethasone (
B) and zafirlukast (
D) are long-term, not immediate (
A).