ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
Which of the following teaching instructions should be included for the patient with newly prescribed opioid analgesic for pain? (SELECT ALL THAT APPLY)
Correct Answer: B,C,E
Rationale: A diet high in fiber is important to prevent constipation, a common side effect of opioid use. Adequate fluid intake helps to prevent dehydration and constipation. Taking a stool softener daily can help mitigate the constipating effects of opioids. While dizziness can occur, clients should be encouraged to maintain an appropriate level of activity with precautions. Taking the opioid with a full glass of water and sitting upright can help prevent esophageal irritation and ensure proper swallowing of the medication.
Question 2 of 5
The nurse is caring for a client who has remained in skeletal traction for an extended period of time. The nurse is assessing for signs/symptoms of complications of immobility. Included would be: (SELECT ALL THAT APPLY)
Correct Answer: A,D,E
Rationale: Prolonged immobility can lead to skin breakdown due to pressure and reduced circulation. Circulation typically worsens with immobility, not improves. Immobility usually decreases gastric motility, not increases it. Disuse atrophy occurs as muscles weaken from lack of use. Loss of appetite can occur due to reduced activity and metabolic rate.
Question 3 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 4 of 5
A client is being considered for a total hip replacement. The nurse understands that contraindications for this procedure include: (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Bleeding disorders pose a risk of excessive bleeding during and after surgery. An active infection can complicate the healing process and increase the risk of prosthetic joint infection. While immobility may indicate a need for the surgery, it is not a contraindication. Advanced osteoporosis can compromise the bone's ability to support the prosthetic, making surgery less viable. Severe pain is one of the primary indications for considering hip replacement surgery.
Question 5 of 5
Which nursing action should the nurse implement to prevent wound dehiscence in the postoperative client?
Correct Answer: B
Rationale: Splinting the incision (
B) reduces dehiscence risk. Vitamin C (
A), abdominal exercises (
C), and range of motion (
D) are less effective.