ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
Which of these education points would be MOST helpful for the nurse give to a individual with osteoarthritis? (SELECT ALL THAT APPLY)
Correct Answer: B,D,E
Rationale: Physical activity should be encouraged to maintain mobility, not limit it. A bed cage can help alleviate pain by preventing linens from touching sensitive areas. Osteoarthritis involves the breakdown of cartilage, not an autoimmune attack on the joint lining. Injectable corticosteroids are used when NSAIDs are ineffective. Gradual weight loss reduces stress on weight-bearing joints, alleviating symptoms.
Question 2 of 5
A client in DKA is ordered regular insulin at 5 units per hour for the current blood glucose level. The institution protocol is to add 125 units of regular insulin to a 250 mL bag of normal saline. What is the correct rate for the nurse to set the IV pump for this dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 10 mL/hr.
Rationale: 125 units in 250 mL = 0.5 units/mL; 5 units ÷ 0.5 units/mL = 10 mL/hr (
A).
Question 3 of 5
The purpose of the nurse providing pre-operative teaching to clients undergoing surgery is to:
Correct Answer: C
Rationale: Pre-operative teaching improves post-operative outcomes (
C). Time-outs (
A), consent (
B), and collaboration (
D) are secondary.
Question 4 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.
Question 5 of 5
The client has been diagnosed with rheumatoid arthritis and asks, 'What impact will this have on my activities of daily living in the years to come?' What is the best response by the nurse?
Correct Answer: B
Rationale: Suggesting remedies prematurely without fully understanding the client's concerns might not address their specific needs. The best response is to encourage open communication by acknowledging the client's concerns and fostering a discussion. This approach helps the nurse understand the client's worries and provide tailored information about rheumatoid arthritis and its potential impact on daily life. The progression of rheumatoid arthritis is variable and can affect activities of daily living more noticeably over time; it's not always subtle. While predicting disease outcomes can be difficult, giving a more open response like option B will foster better communication and support.