ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
The patient is post-op day 1 of a right total hip replacement. What precautions are necessary to prevent complications? (SELECT ALL THAT APPLY)
Correct Answer: A,B,D,E
Rationale: An adductor pillow helps maintain proper alignment and prevents the hip from crossing the midline (adduction). Limiting hip flexion to 90 degrees prevents dislocation by avoiding positions that could stress the hip joint. A fracture pan is not a necessary precaution for a total hip replacement; it is more relevant for clients with fractures. Adduction should be avoided to prevent the hip from dislocating. Internal rotation can cause the hip to dislocate, so it should be avoided.
Question 2 of 5
A client is diagnosed with asthma. The therapeutic regimen using metered dose inhalers includes albuterol 2 puffs and beclomethasone 2 puffs. The nursing plan of care must include teaching regarding:
Correct Answer: B
Rationale: Rinsing after beclomethasone (
B) prevents oral thrush. Coughing (
A) isn't needed, beclomethasone is regular (
C), and albuterol goes first (
D).
Question 3 of 5
The nurse is planning the care of a client diagnosed with emphysema. The client is not currently reporting increased dyspnea, but the nurse has noted the client is anxious. Which nursing intervention(s) should be implemented?
Correct Answer: D
Rationale: Comfort measures (
D) address anxiety non-pharmacologically. Inhalers/oxygen (
A), lorazepam (
B), or napping (
C) are less immediate.
Question 4 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 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.