ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
Your neighbor returns home from the Emergency Department following treatment for a right ankle sprain and asks you, a nurse, to explain what will happen now that he is home. You recognize that continuing short term treatment will most likely include: (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,E
Rationale: Elevating the leg helps reduce swelling by promoting venous return and decreasing fluid accumulation. Reducing activity helps prevent further injury and allows the healing process to begin. Applying ice helps reduce swelling and pain in the acute phase of a sprain. Traction is typically not used for a sprained ankle unless there is a fracture or more severe injury, which is not typical for sprains. An ACE bandage or wrap provides compression, which helps control swelling and supports the injured area.
Question 2 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 3 of 5
The nurse is evaluating the arterial blood gas (ABG) of a client who was admitted in status asthmaticus. Which ABG result would indicate the client has an improved acid-base status?
Correct Answer: A
Rationale: Normal pH and PaO2 (
A) indicate improved status. Hypoxemia (
B), alkalosis (
C), and acidosis (
D) suggest ongoing issues.
Question 4 of 5
The nurse is caring for a client who has sustained multiple injuries, including a fractured pelvis and femur. Two days later, the client becomes restless and confused. The nurse notes petechiae on the client's neck and chest. The nurse should expect which physician order?
Correct Answer: B
Rationale: Enzymatic medications are not relevant to this condition. Oxygen therapy is critical as these symptoms suggest fat embolism syndrome, which impairs oxygenation. Anticoagulation therapy is not appropriate for fat embolism syndrome, which differs from thromboembolism. Physical therapy is not an immediate intervention for this acute condition.
Question 5 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.