ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 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 2 of 5
The client has been diagnosed with rheumatoid arthritis and asks, 'What impact will this have on my activities of daily living in the years to come?' What is the best response by the nurse?
Correct Answer: B
Rationale: Suggesting remedies prematurely without fully understanding the client's concerns might not address their specific needs. The best response is to encourage open communication by acknowledging the client's concerns and fostering a discussion. This approach helps the nurse understand the client's worries and provide tailored information about rheumatoid arthritis and its potential impact on daily life. The progression of rheumatoid arthritis is variable and can affect activities of daily living more noticeably over time; it's not always subtle. While predicting disease outcomes can be difficult, giving a more open response like option B will foster better communication and support.
Question 3 of 5
The nurse is presenting a community health program on fracture risk reduction. Which topics should be included? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D,E
Rationale: Recreational drug use does not directly relate to fracture prevention and is less relevant for a fracture risk reduction program. The use of seatbelts helps reduce the risk of fractures during vehicle accidents, a common cause of trauma. Osteoporosis screening is important for identifying individuals at higher risk for fractures due to bone weakness. Helmets protect against head injuries, which can result in fractures, particularly in activities like biking or skating. Fall prevention strategies are crucial in reducing fracture risk, especially in older adults or those with osteoporosis.
Question 4 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 5 of 5
The patient is post-op day 1 of a right total hip replacement. What precautions are necessary to prevent complications? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D,E
Rationale: An adductor pillow helps maintain proper alignment and prevents the hip from crossing the midline (adduction). Limiting hip flexion to 90 degrees prevents dislocation by avoiding positions that could stress the hip joint. A fracture pan is not a necessary precaution for a total hip replacement; it is more relevant for clients with fractures. Adduction should be avoided to prevent the hip from dislocating. Internal rotation can cause the hip to dislocate, so it should be avoided.