Questions 127

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ATI RN Test Bank

ATI n200 Med Surg Exam Questions

Extract:


Question 1 of 5

Which interventions should be included in discharge teaching for a client who has had a total hip replacement? (SELECT ALL THAT APPLY)

Correct Answer: A,B,C

Rationale: Gradually increasing activity helps in recovery and prevents complications like blood clots. Having the client demonstrate the use of assistive devices ensures proper use and safety during ambulation. Using an abductor pillow helps maintain hip alignment and prevents dislocation while turning in bed. Open-toed house shoes are not recommended as they do not provide adequate support or protection. It is important for the client to manage pain appropriately, including taking medication before activities such as walking.

Question 2 of 5

The nurse recognizes which of the following tests will confirm the diagnosis of tuberculosis for a client?

Correct Answer: A

Rationale: Sputum culture (
A) is definitive for TB. PPD (
B), AFB smear (
C), and chest X-ray (
D) are supportive but not confirmatory.

Question 3 of 5

Your neighbor returns home from the Emergency Department following treatment for a right ankle sprain and asks you, a nurse, to explain what will happen now that he is home. You recognize that continuing short term treatment will most likely include: (SELECT ALL THAT APPLY)

Correct Answer: A,B,C,E

Rationale: Elevating the leg helps reduce swelling by promoting venous return and decreasing fluid accumulation. Reducing activity helps prevent further injury and allows the healing process to begin. Applying ice helps reduce swelling and pain in the acute phase of a sprain. Traction is typically not used for a sprained ankle unless there is a fracture or more severe injury, which is not typical for sprains. An ACE bandage or wrap provides compression, which helps control swelling and supports the injured area.

Question 4 of 5

The nurse is reviewing newly written prescriptions for a client diagnosed with acute bronchitis. The client has a productive cough with green sputum and shortness of breath. The nurse would question the primary care provider regarding which medication order?

Correct Answer: D

Rationale: Dextromethorphan (
D) suppresses productive cough, hindering clearance. Albuterol (
A), guaifenesin (
B), and methylprednisolone (
C) aid symptom relief.

Question 5 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.

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