RN ATI MEDSURG EXAM 1 2023 WITH NGN
A patient is hospitalized for initiation of regional antibiotic irrigation for acute osteomyelitis of the right femur. Which
intervention will be included in the plan of care?
a. Immobilization of the right leg
b. Avoiding administration of nonsteroidal anti-inflammatory drugs (NSAIDs)
c. Frequent weight-bearing exercise
d. Support of the right leg in a flexed position
The correct answer is: Immobilization of the right leg
Immobilization of the affected leg helps decrease pain and reduce the risk for pathologic fractures. Weight-bearing
exercise increases the risk for pathologic fractures. NSAIDs are frequently prescribed to treat pain. Flexion of the
affected limb is avoided to prevent contractures.
Discharge teaching for the patient with esophageal reflux disease includes instructing the patient
to: a. Decrease protein intake
b. Elevate the foot of the bed with 6-inch blocks
c. Eat a high-carbohydrate snack before bed
d. Reduce caffeine intake and smoking
The correct answer is: Reduce caffeine intake and smoking
Once healing has occurred, persons with a hip prosthesis are encouraged to participate in:
a. Highimpact exercises such as swimming
b. Lowimpact exercises such as jogging
c. Highimpact exercises such as bowling
d. Lowimpact exercises such as walking
The correct answer is: Lowimpact exercises such as walking
A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nurse that the eyedrop
cause eye burning and visual blurriness for a short time after administration. The best response to the patient's
statement is
a. "These symptoms are caused by glaucoma and may indicate a need for an increased dosage of the eyedrops."
b. "The drops are uncomfortable, but it is very important for you to use them as prescribed to retain your vision."
c. "These are normal side effects of the drug, which should become less noticeable with time."
, d. "If you occlude the puncta after you administer the drops, it will help relieve these side effects."
The correct answer is: "The drops are uncomfortable, but it is very important for you to use them as prescribed to
retain your vision."
Patients should be instructed that eye discomfort and visual blurring are expected side effects of the ophthalmic drops
but that the drops must be used to prevent further visual-field loss. The temporary burning and visual blurriness migh
not lessen with ongoing use, are not relieved by avoiding systemic absorption, and are not symptoms of glaucoma.
Patients should be taught that Zollinger-Ellison syndrome is:
a. An ulcerative syndrome caused by a gastrinoma
b. An infectious syndrome caused by Helicobacter pylori
c. Related to the indiscriminate use of nonsteroidal antiinflammatory drugs (NSAIDs) d. A type of peptic ulcer related t
stress
The correct answer is: An ulcerative syndrome caused by a gastrinoma
After a patient has a short-arm plaster cast applied in the emergency department, which statement by the patient
indicates a good understanding of the nurse's discharge teaching?
a. "I can use a cotton-tipped applicator to rub lotion on any dry areas under the cast."
b. "I should avoid moving my fingers and elbow until the cast is removed."
c. "I can get the cast wet as long as I dry it right away with a hair dryer."
d. "I will apply an ice pack to the cast over the fracture site for the next 24 hours."
The correct answer is: "I will apply an ice pack to the cast over the fracture site for the next 24 hours."
Ice application for the first 24 hours after a fracture will help reduce swelling and can be placed over the cast. Plaster
casts should not get wet. The patient should be encouraged to move the joints above and below the cast. Patients
should not insert objects inside the cast.
The leading cause of blindness in the elderly is:
a. Glaucoma
b. Macular degeneration
c. Ocular tumors
d. Retinal detachment
The correct answer is: Macular degeneration
A patient is hospitalized for initiation of regional antibiotic irrigation for acute osteomyelitis of the right femur. Which
intervention will be included in the plan of care?
a. Immobilization of the right leg
b. Avoiding administration of nonsteroidal anti-inflammatory drugs (NSAIDs)
c. Frequent weight-bearing exercise
d. Support of the right leg in a flexed position
The correct answer is: Immobilization of the right leg
Immobilization of the affected leg helps decrease pain and reduce the risk for pathologic fractures. Weight-bearing
exercise increases the risk for pathologic fractures. NSAIDs are frequently prescribed to treat pain. Flexion of the
affected limb is avoided to prevent contractures.
Discharge teaching for the patient with esophageal reflux disease includes instructing the patient
to: a. Decrease protein intake
b. Elevate the foot of the bed with 6-inch blocks
c. Eat a high-carbohydrate snack before bed
d. Reduce caffeine intake and smoking
The correct answer is: Reduce caffeine intake and smoking
Once healing has occurred, persons with a hip prosthesis are encouraged to participate in:
a. Highimpact exercises such as swimming
b. Lowimpact exercises such as jogging
c. Highimpact exercises such as bowling
d. Lowimpact exercises such as walking
The correct answer is: Lowimpact exercises such as walking
A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nurse that the eyedrop
cause eye burning and visual blurriness for a short time after administration. The best response to the patient's
statement is
a. "These symptoms are caused by glaucoma and may indicate a need for an increased dosage of the eyedrops."
b. "The drops are uncomfortable, but it is very important for you to use them as prescribed to retain your vision."
c. "These are normal side effects of the drug, which should become less noticeable with time."
, d. "If you occlude the puncta after you administer the drops, it will help relieve these side effects."
The correct answer is: "The drops are uncomfortable, but it is very important for you to use them as prescribed to
retain your vision."
Patients should be instructed that eye discomfort and visual blurring are expected side effects of the ophthalmic drops
but that the drops must be used to prevent further visual-field loss. The temporary burning and visual blurriness migh
not lessen with ongoing use, are not relieved by avoiding systemic absorption, and are not symptoms of glaucoma.
Patients should be taught that Zollinger-Ellison syndrome is:
a. An ulcerative syndrome caused by a gastrinoma
b. An infectious syndrome caused by Helicobacter pylori
c. Related to the indiscriminate use of nonsteroidal antiinflammatory drugs (NSAIDs) d. A type of peptic ulcer related t
stress
The correct answer is: An ulcerative syndrome caused by a gastrinoma
After a patient has a short-arm plaster cast applied in the emergency department, which statement by the patient
indicates a good understanding of the nurse's discharge teaching?
a. "I can use a cotton-tipped applicator to rub lotion on any dry areas under the cast."
b. "I should avoid moving my fingers and elbow until the cast is removed."
c. "I can get the cast wet as long as I dry it right away with a hair dryer."
d. "I will apply an ice pack to the cast over the fracture site for the next 24 hours."
The correct answer is: "I will apply an ice pack to the cast over the fracture site for the next 24 hours."
Ice application for the first 24 hours after a fracture will help reduce swelling and can be placed over the cast. Plaster
casts should not get wet. The patient should be encouraged to move the joints above and below the cast. Patients
should not insert objects inside the cast.
The leading cause of blindness in the elderly is:
a. Glaucoma
b. Macular degeneration
c. Ocular tumors
d. Retinal detachment
The correct answer is: Macular degeneration
