ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
Which are examples of primary prevention techniques to decrease falls that the nurse could suggest for older adults who are living in their own homes? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D
Rationale: Placing commonly used items within easy reach minimizes the need for reaching or climbing, reducing fall risk. Attendance at illness support groups is not directly related to fall prevention. Removing small area rugs prevents tripping hazards. Installing grab bars in the shower provides support and stability. Screenings for blood pressure, cancer, and osteoporosis are secondary prevention measures, not primary prevention for falls.
Question 2 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 3 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 4 of 5
A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that they have a frequent productive cough and shortness of breath. The nurse should anticipate which of the following assessment findings for this client?
Correct Answer: B
Rationale: Oxygen saturation below 95% (
B) is common due to impaired gas exchange in COPD. Decreased anteroposterior diameter (
A) is incorrect as COPD often causes a barrel chest. Petechiae (
C) are unrelated, and respiratory alkalosis (
D) is less likely than acidosis due to CO2 retention.
Question 5 of 5
While assessing a client with status asthmaticus, the nurse notes diminished breath sounds in all lung fields and the client is becoming confused. The nurse should prepare the client for:
Correct Answer: B
Rationale: Severe respiratory failure (diminished sounds, confusion) requires mechanical ventilation (
B). Testing (
A), x-ray (
C), and low-flow oxygen (
D) are inadequate.