ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
Which statement made by the client to the nurse indicates a precipitating factor associated with pain?
Correct Answer: C
Rationale: Pain comes and goes all night long' is a description of pain pattern, not a precipitating factor. Dizziness and nausea are associated with pain but are not directly related to a precipitating factor. This statement suggests that eating breakfast may be a precipitating factor for pain, indicating that the pain may be related to digestive or gastrointestinal issues, such as acid reflux or ulcers. Describing the pain as 'sharp' gives details of pain quality but not a precipitating factor.
Question 2 of 5
Which of these deformities is associated with osteoarthritis? (SELECT ALL THAT APPLY)
Correct Answer: D,E
Rationale: Inflammation of the lungs: This is not associated with osteoarthritis but could indicate other conditions such as rheumatoid arthritis or systemic diseases. Tender and warm joints: These are more typical of inflammatory conditions like rheumatoid arthritis. Nodules on the skin: Nodules are common in rheumatoid arthritis, not osteoarthritis. Pain and stiffness of joints: Osteoarthritis is characterized by joint pain and stiffness, especially after inactivity or overuse. Swelling of joints affected: Swelling occurs due to inflammation and changes in the joint structure associated with osteoarthritis.
Question 3 of 5
The patient has been admitted to the med-surg unit with the diagnosis of sprained ankle. Which of the following interventions are important to implement for this patient? (SELECT ALL THAT APPLY)
Correct Answer: B,D,E
Rationale: Danging the leg is not advisable as it may increase swelling. Elevation is more beneficial for reducing swelling. An ACE bandage helps stabilize the ankle and reduce swelling. The client should stay off the ankle for several days, but it's important to resume gentle movement and weight-bearing once swelling and pain allow to promote healing and prevent stiffness. Compression also reduces swelling and provides support to the injured area. Applying a cold pack reduces inflammation and pain during the acute phase of a sprain.
Question 4 of 5
A client is admitted at 0700 with severe dehydration. The doctor orders D5W to run at 150 ml/hr. The client is ordered an IVPB antibiotic every 4 hours, that will be administered in 50 ml of IV fluid over 1 hour. The antibiotic is scheduled to start at 0800. The client is permitted liquids and takes the following: 4 oz gelatin 10 oz apple juice 500 ml of water 16 oz of ice chips which is consumed by the end of the shift Urine output is as follows: At 0900: 100 mL 1100: 250 mL 1330: 290 mL 1445: 250 ml At 1200, the client had 300 mL of a diarrhea stool. Calculate the cumulative fluid balance for the 0700-1500 shift.
Correct Answer: 1270 mL
Rationale: Intake: IV Fluids: D5W: 150 ml/hr from 0700 to 1500 (8 hours) = 150 ml/hr * 8 hr = 1200 ml. Antibiotic: 50 ml every 4 hours, starting at 0800. So, it will be administered at 0800 and 1200 = 50 ml * 2 = 100 ml. Oral Intake: Gelatin: 4 oz = 4 * 30 ml = 120 ml. Apple Juice: 10 oz = 10 * 30 ml = 300 ml. Water: 500 ml. Ice Chips: 16 oz (since ice chips are half liquid) = 16 * 30 ml / 2 = 240 ml.
Total Intake: 1200 ml (D5W) + 100 ml (Antibiotic) + 120 ml (Gelatin) + 300 ml (Apple Juice) + 500 ml (Water) + 240 ml (Ice Chips) = 2460 ml. Output: Urine Output: 0900: 100 ml, 1100: 250 ml, 1330: 290 ml, 1445: 250 ml. Diarrhea Stool: 1200: 300 ml.
Total Output: 100 ml + 250 ml + 290 ml + 250 ml + 300 ml = 1190 ml. Cumulative Fluid Balance: Intake - Output: 2460 ml - 1190 ml = 1270 ml. So, the cumulative fluid balance for the 0700-1500 shift is +1270 ml.
Question 5 of 5
In the operating room, an 82-year-old client tells the circulating nurse that cataract surgery is to be performed on the left eye. The nurse notes that the consent form indicates the right eye. What is the nurse's best action?
Correct Answer: A
Rationale: Notifying the surgical team (
A) ensures correct site verification. Assuming confusion (
B), pointing to the eye (
C), or checking medications (
D) delays resolution.