ATI RN Adult Medical Surgical Practice E
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
• Correct answer: a. Immobilization of the right leg
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
• Correct answer: d. Reduce caffeine intake and smoking
Once healing has occurred, persons with a hip prosthesis are encouraged to
participate in:
a. High-impact exercises such as swimming
b. Low-impact exercises such as jogging
c. High-impact exercises such as bowling
d. Low-impact exercises such as walking
• Correct answer: d. Low-impact exercises such as walking
A patient with glaucoma who has been using timolol (Timoptic) drops for several
days tells the nurse that the eyedrops 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."
• Correct answer: b. "The drops are uncomfortable, but it is very important
for you to use them as prescribed to retain your vision."
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 anti-inflammatory drugs
(NSAIDs)
d. A type of peptic ulcer related to stress
• Correct answer: a. 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."
• Correct answer: d. "I will apply an ice pack to the cast over the fracture site
for the next 24 hours."
The leading cause of blindness in the elderly is:
a. Glaucoma
b. Macular degeneration
c. Ocular tumors
d. Retinal detachment
• Correct answer: b. Macular degeneration
Which describes a fracture located at a 45-degree angle to the long axis of bone?
a. Oblique fracture
b. Impacted fracture
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
• Correct answer: a. Immobilization of the right leg
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
• Correct answer: d. Reduce caffeine intake and smoking
Once healing has occurred, persons with a hip prosthesis are encouraged to
participate in:
a. High-impact exercises such as swimming
b. Low-impact exercises such as jogging
c. High-impact exercises such as bowling
d. Low-impact exercises such as walking
• Correct answer: d. Low-impact exercises such as walking
A patient with glaucoma who has been using timolol (Timoptic) drops for several
days tells the nurse that the eyedrops 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."
• Correct answer: b. "The drops are uncomfortable, but it is very important
for you to use them as prescribed to retain your vision."
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 anti-inflammatory drugs
(NSAIDs)
d. A type of peptic ulcer related to stress
• Correct answer: a. 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."
• Correct answer: d. "I will apply an ice pack to the cast over the fracture site
for the next 24 hours."
The leading cause of blindness in the elderly is:
a. Glaucoma
b. Macular degeneration
c. Ocular tumors
d. Retinal detachment
• Correct answer: b. Macular degeneration
Which describes a fracture located at a 45-degree angle to the long axis of bone?
a. Oblique fracture
b. Impacted fracture
