ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
Which function or task during a surgical procedure is the responsibility of both the scrub and circulating nurses?
Correct Answer: B
Rationale: Counting sponges and instruments (
B) is a shared responsibility. Blood products (
A), traffic (
C), and cardiopulmonary status (
D) are not.
Question 2 of 5
The nurse caring for a patient who has severe osteoporosis. On inspection, the patient has severe kyphosis of the upper back. Which nursing problem takes priority for this patient's care?
Correct Answer: A
Rationale: Severe kyphosis and osteoporosis increase the risk of falls, which can lead to fractures, making fall prevention the highest priority. While important, education is not the immediate priority compared to preventing falls. Skin breakdown is a concern but is not as critical as the immediate risk of injury from falls. Limited mobility is a concern but secondary to the risk of falls.
Question 3 of 5
In the operating room, an 82-year-old client tells the circulating nurse that cataract surgery is to be performed on the left eye. The nurse notes that the consent form indicates the right eye. What is the nurse's best action?
Correct Answer: A
Rationale: Notifying the surgical team (
A) ensures correct site verification. Assuming confusion (
B), pointing to the eye (
C), or checking medications (
D) delays resolution.
Question 4 of 5
The prescription states: "Give drug D 0.5 mg/kg of body weight PO three times a day." The client's weight is 90 kg. Drug D is available from the pharmacy as 25 mg per 5 mL. How many mL will the client receive per 1 dose? (Use preceding zeros if necessary. Do not use trailing zeros. Round to the nearest tenth if necessary.)
Correct Answer: 9.0 mL
Rationale: 0.5 mg/kg × 90 kg = 45 mg; 45 ÷ (25 mg/5 mL) = 9.0 mL (
A).
Question 5 of 5
The nurse is attempting to assist a cognitively-impaired adult to maintain bladder continence. Which intervention is most appropriate?
Correct Answer: B
Rationale: Incontinence briefs are appropriate for overnight use but do not encourage independence in bladder management during the day. Providing easy-to-remove clothing is a practical intervention that enhances the client's independence in managing toileting, especially if they have cognitive impairments. It ensures that the client can quickly respond to the urge to urinate. Explaining the use of a call bell is helpful but may not be the most appropriate approach for a cognitively-impaired client who may forget or struggle with communication. Asking the client every two hours if they need to urinate is helpful but may not be as effective as providing easy access to clothing for quick toileting.