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ATI N200 Med Surg Exam Questions

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Question 1 of 5

What information would be important for the nurse to reinforce when teaching a pre-operative client about the correct use of the patient-controlled analgesia (PCA) device to achieve the best outcome?

Correct Answer: D

Rationale: Pressing PCA when pain begins (
D) prevents severe pain. Delaying (
A), others pressing (
B), or routine pressing (
C) risks inadequate/excessive dosing.

Question 2 of 5

A nurse is assessing a newly admitted client whose chief complaint is "coughing up blood" and whose recent history includes a productive cough and night sweats. What is the nurse's priority intervention?

Correct Answer: D

Rationale: Symptoms suggest tuberculosis, requiring airborne precautions (
D) to prevent spread. Droplet precautions (
A) are insufficient, standard precautions (
B) are inadequate, and positive pressure rooms (C, E) are inappropriate.

Question 3 of 5

Which of these education points would be MOST helpful for the nurse give to a individual with osteoarthritis? (SELECT ALL THAT APPLY)

Correct Answer: B,D,E

Rationale: Physical activity should be encouraged to maintain mobility, not limit it. A bed cage can help alleviate pain by preventing linens from touching sensitive areas. Osteoarthritis involves the breakdown of cartilage, not an autoimmune attack on the joint lining. Injectable corticosteroids are used when NSAIDs are ineffective. Gradual weight loss reduces stress on weight-bearing joints, alleviating symptoms.

Question 4 of 5

A client receives a tuberculin (PPD) skin test on Thursday at 1200. The nurse documents on the medication record that the results need to be read:

Correct Answer: A

Rationale: PPD results are read 48-72 hours post-administration; Sunday morning (
A) is within this window.

Question 5 of 5

The priority nursing intervention for a client who has a serum sodium level of 154 mEq/L would be:

Correct Answer: C

Rationale: Fluid restriction (
C) corrects hypernatremia. Cardiac monitoring (
A), breath sounds (
B), and safety precautions (
D) are secondary.

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