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ATI N200 Med Surg Exam Questions

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Question 1 of 5

Which laboratory result of a preoperative client should the nurse report to the surgeon's office, knowing that it could cause surgery to be postponed?

Correct Answer: A

Rationale: Low hemoglobin (
A) indicates anemia, risking surgical complications. Normal creatinine (
B), platelets (
C), and sodium (
D) don't warrant postponement.

Question 2 of 5

The nurse is changing a client's abdominal dressing and notes a separation of the incision line. The underlying tissue is protruding from the wound. The nurse should plan to do which of the following in the initial care of this wound?

Correct Answer: D

Rationale: Saline-soaked dressing (
D) keeps tissue moist. Iodine (
A), irrigation (
B), and dry dressing (
C) risk tissue damage.

Question 3 of 5

A nurse is teaching a client who has osteoporosis and a new prescription for the biphosphonate alendronate. Which of the following instructions should the nurse provide? (SELECT ALL THAT APPLY)

Correct Answer: A,C,D

Rationale: Alendronate should be taken in the morning on an empty stomach to ensure proper absorption. Tingling around the mouth and nose is not a typical or expected side effect of alendronate. Lying down after taking alendronate can cause esophageal irritation, so the client should remain upright for at least 30 minutes. Drinking water helps with swallowing and ensures the medication reaches the stomach. Chewing alendronate tablets is contraindicated, as it can increase the risk of esophageal irritation.

Question 4 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 5 of 5

A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is started on IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?

Correct Answer: A

Rationale: Rifampin causes red-colored urine (
A), a harmless side effect. Black stools (
B), constipation (
C), and teeth staining (
D) are not typical.

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