ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client has undergone a total knee replacement and is using a continuous passive motion machine (CPM). The client asks the nurse about the purpose of this therapy. The nurse's most appropriate response would be that 'It
Correct Answer: B
Rationale: The CPM machine does not affect wound drainage directly. The CPM machine helps reduce pain by promoting circulation and decreasing joint stiffness. Physical therapy is still necessary alongside CPM usage. The primary purpose is to maintain joint mobility, not directly strengthen the leg.
Question 2 of 5
A client returns to the unit after undergoing a total hip replacement with a cemented prosthesis. Which order should the nurse anticipate regarding weight bearing status?
Correct Answer: A
Rationale: Full weight bearing is often allowed immediately after surgery with a cemented prosthesis to facilitate early mobility.
Toe touch weight bearing is typically reserved for certain types of hip surgeries, not cemented prostheses. Non-weight bearing is usually for surgeries with significant healing time required for the bone. Partial weight bearing may be prescribed in some cases but is less common with cemented prostheses.
Question 3 of 5
An older adult client with chronic respiratory disease tells the nurse it is unnecessary to receive the pneumococcal pneumonia vaccine because the influenza vaccine was just received two months ago. Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Influenza vaccine doesn't protect against bacterial pneumonia; pneumococcal vaccine (
A) is needed. Full protection (
B), flu causing pneumonia (
C), and carrier prevention (
D) are incorrect.
Question 4 of 5
A client with traumatic injuries has a comminuted open fracture of the femur that has been placed in an external fixator. The nurse recognizes that compartment syndrome is associated with which clinical assessment finding?
Correct Answer: D
Rationale: Scratching around pin sites is more indicative of skin irritation or infection, not compartment syndrome. Accumulation of flaky skin is generally unrelated to compartment syndrome and might be a sign of poor circulation or prolonged immobility. Dry serosanguineous drainage is common after surgery and would not specifically indicate compartment syndrome. Compartment syndrome is a serious condition where increased pressure within a muscle compartment can lead to ischemia and tissue damage. Pain, particularly pain that is out of proportion to the injury or pain when the limb is at rest, is a classic sign.
Question 5 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.