ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client is being considered for a total hip replacement. The nurse understands that contraindications for this procedure include: (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: Bleeding disorders pose a risk of excessive bleeding during and after surgery. An active infection can complicate the healing process and increase the risk of prosthetic joint infection. While immobility may indicate a need for the surgery, it is not a contraindication. Advanced osteoporosis can compromise the bone's ability to support the prosthetic, making surgery less viable. Severe pain is one of the primary indications for considering hip replacement surgery.
Question 2 of 5
A nurse is assessing a newly admitted client whose chief complaint is "coughing up blood" and whose recent history includes a productive cough and night sweats. What is the nurse's priority intervention?
Correct Answer: D
Rationale: Symptoms suggest tuberculosis, requiring airborne precautions (
D) to prevent spread. Droplet precautions (
A) are insufficient, standard precautions (
B) are inadequate, and positive pressure rooms (C, E) are inappropriate.
Question 3 of 5
A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication?
Correct Answer: C
Rationale: Constipation is not a common side effect of aspirin. Insomnia is not typically associated with aspirin. Aspirin can cause gastrointestinal bleeding and increase bleeding risk due to its antiplatelet effects. Blurred vision is not a common adverse effect of aspirin.
Question 4 of 5
A client has been prescribed a full liquid diet following surgery. Which items should the nurse remove from the client's tray? (SELECT ALL THAT APPLY)
Correct Answer: B,D
Rationale: Vanilla ice cream is appropriate for a full liquid diet. Pureed bananas are not allowed as they are not fully liquid. Coffee is allowed on a full liquid diet. Chicken noodle soup with diced vegetables is not suitable as it contains solid pieces. Green JELLO is considered part of a full liquid diet.
Question 5 of 5
The most effective way for a nurse to avoid a lumbosacral spine injury while caring for clients is to:
Correct Answer: D
Rationale: Protective back supports can be helpful but do not replace the need for proper body mechanics and lifting devices. Proper footwear is important for overall safety but does not directly prevent back injuries related to lifting. Staying in good physical shape helps with overall body strength and endurance but does not eliminate the risk of injury when lifting clients. Mechanical lifting devices are the most effective way to prevent injury while moving or lifting patients, as they reduce the risk of strain on the spine.