ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is changing a client's abdominal dressing and notes a separation of the incision line. The underlying tissue is protruding from the wound. The nurse should plan to do which of the following in the initial care of this wound?
Correct Answer: D
Rationale: Saline-soaked dressing (
D) keeps tissue moist. Iodine (
A), irrigation (
B), and dry dressing (
C) risk tissue damage.
Question 2 of 5
A client with osteoarthritis of the left knee will undergo an injection of corticosteroids into the joint. The nurse notes that the primary reason for this injection is to:
Correct Answer: B
Rationale: While corticosteroids can reduce inflammation and pain, they do not directly target edema. The primary purpose of corticosteroid injections into a joint affected by osteoarthritis is to reduce inflammation and pain, providing relief from the symptoms. Corticosteroids do not prevent ankylosis (joint stiffness), which may occur with long-term osteoarthritis. Corticosteroids do not repair cartilage but can help alleviate symptoms related to cartilage degradation.
Question 3 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 4 of 5
The purpose of the nurse providing pre-operative teaching to clients undergoing surgery is to:
Correct Answer: C
Rationale: Pre-operative teaching improves post-operative outcomes (
C). Time-outs (
A), consent (
B), and collaboration (
D) are secondary.
Question 5 of 5
The patient has been admitted to the med-surg unit with the diagnosis of sprained ankle. Which of the following interventions are important to implement for this patient? (SELECT ALL THAT APPLY)
Correct Answer: B,D,E
Rationale: Danging the leg is not advisable as it may increase swelling. Elevation is more beneficial for reducing swelling. An ACE bandage helps stabilize the ankle and reduce swelling. The client should stay off the ankle for several days, but it's important to resume gentle movement and weight-bearing once swelling and pain allow to promote healing and prevent stiffness. Compression also reduces swelling and provides support to the injured area. Applying a cold pack reduces inflammation and pain during the acute phase of a sprain.