ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has remained in skeletal traction for an extended period of time. The nurse is assessing for signs/symptoms of complications of immobility. Included would be: (SELECT ALL THAT APPLY)
Correct Answer: A,D,E
Rationale: Prolonged immobility can lead to skin breakdown due to pressure and reduced circulation. Circulation typically worsens with immobility, not improves. Immobility usually decreases gastric motility, not increases it. Disuse atrophy occurs as muscles weaken from lack of use. Loss of appetite can occur due to reduced activity and metabolic rate.
Question 2 of 5
A client develops an inflamed, very painful right great toe overnight and the physician diagnoses gout. Treatment with colchicine is begun at 0.6 mg PO every two hours. For which side effect of this drug should the nurse assess?
Correct Answer: B
Rationale: Cold, pale feet are not a typical side effect of colchicine. Diarrhea is a well-known side effect of colchicine, commonly used to treat acute gout flares. The nurse should monitor for gastrointestinal symptoms. Menorrhagia (heavy menstrual bleeding) is not associated with colchicine. Rash is not a common side effect of colchicine but can occur. The nurse should primarily monitor for gastrointestinal symptoms like diarrhea.
Question 3 of 5
The nurse is evaluating the arterial blood gas (ABG) of a client who was admitted in status asthmaticus. Which ABG result would indicate the client has an improved acid-base status?
Correct Answer: A
Rationale: Normal pH and PaO2 (
A) indicate improved status. Hypoxemia (
B), alkalosis (
C), and acidosis (
D) suggest ongoing issues.
Question 4 of 5
Which function or task during a surgical procedure is the responsibility of both the scrub and circulating nurses?
Correct Answer: B
Rationale: Counting sponges and instruments (
B) is a shared responsibility. Blood products (
A), traffic (
C), and cardiopulmonary status (
D) are not.
Question 5 of 5
The nurse is assessing the client and notes fine crackles throughout the lungs bilaterally. This assessment finding is often associated with:
Correct Answer: A
Rationale: Fine crackles (
A) are common in bronchitis due to mucus. Pneumothorax (
B), asthma (
C), and emphysema (
D) have different sounds.