ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse teaches a client that which factor might increase the risk of developing an exacerbation of systemic lupus erythematous (SLE)
Correct Answer: C
Rationale: Hypotension is not associated with SLE exacerbation. Heartburn is not a trigger for SLE flares. Fever can indicate infection or inflammation, common triggers for SLE exacerbations. Gout is unrelated to SLE exacerbation.
Question 2 of 5
A client who is 3 days post-operative following a total hip replacement returns from physical therapy and states, 'Something is not right. I felt something 'pop' in my hip.' What would cause the nurse to suspect that the client has dislocated the hip?
Correct Answer: B
Rationale: Increased incisional drainage is not a typical sign of dislocation. A painful, abnormally rotated leg is a classic sign of hip dislocation. Reddened incision may indicate infection but not dislocation. Sudden shortness of breath could indicate a pulmonary embolism, not hip dislocation.
Question 3 of 5
The client has right lower lobe pneumonia with a non-productive cough. Which intervention is the nurse's priority?
Correct Answer: B
Rationale: Fluids (
B) thin mucus for clearance. Suctioning (
A) is unnecessary for non-productive cough, right side-lying (
C) may worsen drainage, and codeine (
D) suppresses cough.
Question 4 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 5 of 5
Which nursing action should the nurse implement to prevent wound dehiscence in the postoperative client?
Correct Answer: B
Rationale: Splinting the incision (
B) reduces dehiscence risk. Vitamin C (
A), abdominal exercises (
C), and range of motion (
D) are less effective.