ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
The physician prescribed albuterol, beclomethasone, and zafirlukast for a client being discharged with asthma. The client tells the nurse he can't remember what to take before exercising. The best response by the nurse would be:
Correct Answer: C
Rationale: Albuterol (
C) prevents exercise-induced bronchoconstriction. Beclomethasone (
B) and zafirlukast (
D) are long-term, not immediate (
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
The circulating nurse notes in the nutritional assessment of the client who is scheduled for total hip replacement surgery that the client is 20 lbs (9.07 kg) underweight for their height. The nurse should:
Correct Answer: D
Rationale: Notifying the surgeon (
D) addresses underweight status impacting surgery. Weighing (
A), padding (
B), and straps (
C) are secondary.
Question 4 of 5
A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?
Correct Answer: B
Rationale: Measuring the circumference of the thigh can help assess swelling but does not directly evaluate neurovascular status. Asking the client to wiggle toes assesses motor function and nerve integrity, crucial components of neurovascular assessment. Monitoring for edema is important but does not provide specific information about neurovascular status. Palpating the femoral pulse helps evaluate circulation but is less specific than assessing distal motor function.
Question 5 of 5
The nurse gives metoprolol 25 mg PO BID to a client who has coronary artery disease. The nurse understands that the primary use of this medication is to:
Correct Answer: A
Rationale: Metoprolol, a beta-blocker, reduces heart rate and myocardial oxygen demand, effectively decreasing the cardiac workload. Metoprolol does not primarily dilate coronary arteries. While it can help manage dysrhythmias, its main purpose is to reduce cardiac workload. Metoprolol does not increase the strength of myocardial contraction; it may reduce it slightly to decrease oxygen demand.