ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client who is 3 days post-operative following a total hip replacement returns from physical therapy and states, 'Something is not right. I felt something 'pop' in my hip.' What would cause the nurse to suspect that the client has dislocated the hip?
Correct Answer: B
Rationale: Increased incisional drainage is not a typical sign of dislocation. A painful, abnormally rotated leg is a classic sign of hip dislocation. Reddened incision may indicate infection but not dislocation. Sudden shortness of breath could indicate a pulmonary embolism, not hip dislocation.
Question 2 of 5
The experienced nurse understands that the student nurse may require additional instruction regarding proper respiratory assessment techniques when the nurse observes the student: (SELECT ALL THAT APPLY)
Correct Answer: B,C
Rationale: Rapid breathing (
B) distorts breath sounds, and listening through clothing (
C) reduces accuracy. Full respirations (
A), slow deep breaths (D, ideally through the mouth), and assessing both phases (E) are correct techniques.
Question 3 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 4 of 5
The client diagnosed with pneumonia asks the nurse, "Why did my physician order chest physiotherapy (CPT) for me?" Which response by the nurse is most accurate? Chest physiotherapy will:
Correct Answer: C
Rationale: CPT loosens secretions (
C) to improve ventilation. Ciliary movement (
A), deep breathing (
B), and oxygen supply (
D) are secondary.
Question 5 of 5
A client with left lower lobe pneumonia has activity intolerance related to impaired oxygen supply and demand as evidenced by fatigue, dyspnea, and difficulty performing self-care. Which expected outcome must be included in the care plan related to this problem? The client will:
Correct Answer: C
Rationale: Performing self-care without dyspnea (
C) addresses activity intolerance. Oximetry (
A), respiratory rate (
B), and clear breath sounds (
D) are less specific.