ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse understands that the placement of a pillow under the knee of a client with a total knee replacement is contraindicated because it will:
Correct Answer: B
Rationale: While pain may increase if the knee is positioned improperly, the primary concern is the development of a contracture. Placing a pillow under the knee after total knee replacement can promote a flexion contracture, which results in the inability to fully extend the knee. This is undesirable as it can limit mobility and function post-surgery. The pillow does not stop circulation to the extremity directly. A pillow under the knee is not typically associated with skin breakdown unless the client is immobile for extended periods, but the risk of contracture is a more immediate concern.
Question 2 of 5
The nurse has applied a client problem of ineffective gas exchange for a client diagnosed with chronic bronchitis. Which intervention would the nurse include in the plan of care?
Correct Answer: D
Rationale: Coughing and deep breathing (
D) improve gas exchange. High SpO2 (
A), Sims position (
B), and peak flow (
C) are less effective.
Question 3 of 5
The nurse is completing an admission assessment on a client diagnosed with asthma. What clinical manifestations are typical of the disorder?
Correct Answer: B
Rationale: Dyspnea and wheezing (
B) are hallmark asthma symptoms. Fever and bradypnea (
A), crackles and productive cough (
C), and normal chest with orthopnea (
D) are atypical.
Question 4 of 5
The nurse recognizes the assessment data which best indicates that the client diagnosed with asthma is achieving good control with the prescribed medication regimen is when:
Correct Answer: B
Rationale: Green zone PEFR (
B) indicates good asthma control. Clear lungs (
A) are supportive, but shortness of breath (
C) and exacerbations (
D) suggest poor control.
Question 5 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.