ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has been treated with skeletal traction for two weeks. What are the priorities of care? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D
Rationale: Feet should not be wedged tightly against the footboard, as it may cause pressure injuries. Providing pin care prevents infection at the pin sites. Neurovascular checks monitor for complications like compartment syndrome. Assessing for skin breakdown is essential due to prolonged immobility. Weights should not be removed unless prescribed, as it can disrupt the traction setup.
Question 2 of 5
An older adult client with chronic respiratory disease tells the nurse it is unnecessary to receive the pneumococcal pneumonia vaccine because the influenza vaccine was just received two months ago. Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Influenza vaccine doesn't protect against bacterial pneumonia; pneumococcal vaccine (
A) is needed. Full protection (
B), flu causing pneumonia (
C), and carrier prevention (
D) are incorrect.
Question 3 of 5
Post total joint replacement, the patient needs for the joint to heal prior to sexual activity. What position is best for the patient after a total joint replacement of the hip?
Correct Answer: A
Rationale: Side-lying on the unaffected side is the safest position for hip replacement patients to avoid dislocating the affected hip. Lateral Sims position is not appropriate for this scenario. Reverse Trendelenburg position is not related to hip replacement precautions. The patient being on the bottom is not recommended for a hip replacement as it could cause stress on the joint.
Question 4 of 5
A client with systemic lupus erythematosis has a history of tuberculosis exposure that has been treated. Which medication should the nurse question as possible cause for the lupus symptoms?
Correct Answer: A
Rationale: Isoniazid, a medication used to treat tuberculosis, can trigger or worsen systemic lupus erythematosus (SLE) symptoms in some individuals. This is a known side effect, and the nurse should question its use in a client with a history of lupus. Furosemide is a diuretic that can cause electrolyte imbalances but is not typically associated with triggering lupus symptoms. Warfarin is an anticoagulant, and while it interacts with many drugs, it is not specifically associated with exacerbating lupus symptoms. Levofloxacin is an antibiotic and is generally safe for individuals with lupus unless there are specific contraindications, but it is not known to trigger lupus flare-ups.
Question 5 of 5
The nurse is aware that the client who is prescribed medications for tuberculosis should have which laboratory test(s) assessed monthly?
Correct Answer: A
Rationale: Liver function tests (
A) monitor TB drug hepatotoxicity. WBCs (
B), coagulation (
C), and RBCs (
D) are not routinely monitored monthly.