ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
Which of the following would the nurse discuss as common triggers for a client newly diagnosed with asthma? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D
Rationale: Exercise (
A), pollen (
B), dander (
C), and stress (
D) trigger asthma. Travel (E) is not a direct trigger.
Question 2 of 5
A client receives a tuberculin (PPD) skin test on Thursday at 1200. The nurse documents on the medication record that the results need to be read:
Correct Answer: A
Rationale: PPD results are read 48-72 hours post-administration; Sunday morning (
A) is within this window.
Question 3 of 5
A client describes low back pain that radiates down one leg. Which factors that aggravate the pain increase the likelihood that this client has a herniated disc? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D
Rationale: Dancing, although it can involve movement and stress on the body, is not as directly associated with aggravating a herniated disc compared to the other listed factors. Sneezing and coughing can increase intra-abdominal pressure and aggravate a herniated disc by putting more stress on the affected area of the spine. Lifting a heavy box from a high position requires bending and twisting, which can exacerbate a herniated disc. Prolonged standing or sitting can increase pressure on the spine, especially in the lower back, and aggravate symptoms of a herniated disc. Lying down generally relieves pressure on the spine and is less likely to aggravate a herniated disc.
Question 4 of 5
A client develops an inflamed, very painful right great toe overnight and the physician diagnoses gout. Treatment with colchicine is begun at 0.6 mg PO every two hours. For which side effect of this drug should the nurse assess?
Correct Answer: B
Rationale: Cold, pale feet are not a typical side effect of colchicine. Diarrhea is a well-known side effect of colchicine, commonly used to treat acute gout flares. The nurse should monitor for gastrointestinal symptoms. Menorrhagia (heavy menstrual bleeding) is not associated with colchicine. Rash is not a common side effect of colchicine but can occur. The nurse should primarily monitor for gastrointestinal symptoms like diarrhea.
Question 5 of 5
The nurse teaches a client that which factor might increase the risk of developing an exacerbation of systemic lupus erythematous (SLE)
Correct Answer: C
Rationale: Hypotension is not associated with SLE exacerbation. Heartburn is not a trigger for SLE flares. Fever can indicate infection or inflammation, common triggers for SLE exacerbations. Gout is unrelated to SLE exacerbation.