Questions 127

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ATI RN Test Bank

ATI N200 Med Surg Exam Questions

Extract:


Question 1 of 5

The nurse is reviewing newly written prescriptions for a client diagnosed with acute bronchitis. The client has a productive cough with green sputum and shortness of breath. The nurse would question the primary care provider regarding which medication order?

Correct Answer: D

Rationale: Dextromethorphan (
D) suppresses productive cough, hindering clearance. Albuterol (
A), guaifenesin (
B), and methylprednisolone (
C) aid symptom relief.

Question 2 of 5

A client who receives an antihypertensive medication daily is NPO except medications for surgery. The most recent blood pressure recording is 174/88. What action should the nurse take first?

Correct Answer: D

Rationale: Administering antihypertensive (
D) addresses high blood pressure. Notifying (
A), documenting (
B), and relaxation (
C) are secondary.

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

The priority nursing intervention for a client who has a serum sodium level of 154 mEq/L would be:

Correct Answer: C

Rationale: Fluid restriction (
C) corrects hypernatremia. Cardiac monitoring (
A), breath sounds (
B), and safety precautions (
D) are secondary.

Question 5 of 5

A nurse is caring for a client with osteoarthritis. The nurse should expect which findings with this disease process?

Correct Answer: B

Rationale: Swan-neck deformities are associated with rheumatoid arthritis, not osteoarthritis. Osteoarthritis often presents with joint swelling, pain, and the formation of bony enlargements, particularly at the knees. A painful, hot right great toe suggests gout, not osteoarthritis. Hot, red, swollen joints are characteristic of inflammation in conditions like rheumatoid arthritis, not osteoarthritis.

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