ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse recognizes that the client is manifesting early signs of hypoxia with findings of:
Correct Answer: D
Rationale: Restlessness, confusion, and tachycardia (
D) are early hypoxia signs. Bradycardia (A,
C) and cyanosis (B,
C) are later, and vomiting (
B) is unrelated.
Question 2 of 5
The client with right lower lobe pneumonia has been treated with intravenous antibiotics for three days. Which assessment data obtained by the nurse indicates that the treatment has been effective?
Correct Answer: B
Rationale: Normal WBC count (
B) indicates resolving infection. Low oximetry (
A), bronchial sounds (
C), and yellow sputum (
D) suggest ongoing issues.
Question 3 of 5
Your neighbor returns home from the Emergency Department following treatment for a right ankle sprain and asks you, a nurse, to explain what will happen now that he is home. You recognize that continuing short term treatment will most likely include: (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,E
Rationale: Elevating the leg helps reduce swelling by promoting venous return and decreasing fluid accumulation. Reducing activity helps prevent further injury and allows the healing process to begin. Applying ice helps reduce swelling and pain in the acute phase of a sprain. Traction is typically not used for a sprained ankle unless there is a fracture or more severe injury, which is not typical for sprains. An ACE bandage or wrap provides compression, which helps control swelling and supports the injured area.
Question 4 of 5
A client with left lower lobe pneumonia has activity intolerance related to impaired oxygen supply and demand as evidenced by fatigue, dyspnea, and difficulty performing self-care. Which expected outcome must be included in the care plan related to this problem? The client will:
Correct Answer: C
Rationale: Performing self-care without dyspnea (
C) addresses activity intolerance. Oximetry (
A), respiratory rate (
B), and clear breath sounds (
D) are less specific.
Question 5 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.