ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse must administer 1600 mL of total parenteral nutrition (TPN) over 24 hours. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest tenth, do not use trailing zeros, use a leading zero if it applies)
Correct Answer: 66.7 mL/hr
Rationale: 1600 mL ÷ 24 hr = 66.7 mL/hr (
A).
Question 2 of 5
A nurse is teaching a client about avoiding a gout attack. In evaluating the client's recall of a low purine diet, which dietary choice would indicate to the nurse that the client needs more teaching?
Correct Answer: C
Rationale: Fried chicken is not considered a high-purine food, though fried foods should be eaten in moderation for general health. Baked chicken with broccoli and baked potato is a low-purine meal, suitable for managing gout. Anchovies are high in purines, which can increase uric acid levels and trigger a gout attack. A low-purine diet should avoid foods high in purines, including organ meats, Treasured meat, shellfish, and certain fish like anchovies. Turkey burger with coleslaw and baked chips is also appropriate for a low-purine diet, as turkey is a lean meat and doesn't significantly elevate uric acid levels.
Question 3 of 5
A nurse is caring for a client postoperative closed reduction of the left ankle with a short cast in place. Which assessments of the client's affected leg should the nurse make? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D,E
Rationale: Capillary refill is a key indicator of circulation to the affected area. It should be assessed to ensure adequate perfusion. Pain assessment is critical for identifying any complications such as compartment syndrome or inadequate pain management. The ability to move the toes helps assess for nerve function and mobility. Posterior tibialis and pedal pulses assess the circulation and can help identify signs of vascular compromise. Skin temperature and color help identify signs of poor circulation, swelling, or potential complications like compartment syndrome.
Question 4 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 5 of 5
A client who is in the end stage of chronic bronchitis tells the nurse, "I don't know how my wife will manage without me." The most appropriate response by the nurse at this time is:
Correct Answer: D
Rationale: Encouraging discussion with the wife (
D) addresses emotional concerns. Clergy (
A), children (
B), and living will (
C) are less immediate.