ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
Post total joint replacement, the patient needs for the joint to heal prior to sexual activity. What position is best for the patient after a total joint replacement of the hip?
Correct Answer: A
Rationale: Side-lying on the unaffected side is the safest position for hip replacement patients to avoid dislocating the affected hip. Lateral Sims position is not appropriate for this scenario. Reverse Trendelenburg position is not related to hip replacement precautions. The patient being on the bottom is not recommended for a hip replacement as it could cause stress on the joint.
Question 2 of 5
The nurse is completing an admission assessment on a client diagnosed with asthma. What clinical manifestations are typical of the disorder?
Correct Answer: B
Rationale: Dyspnea and wheezing (
B) are hallmark asthma symptoms. Fever and bradypnea (
A), crackles and productive cough (
C), and normal chest with orthopnea (
D) are atypical.
Question 3 of 5
The nurse is caring for a client newly diagnosed with Clostridium difficile. This client should be placed on which type of precautions?
Correct Answer: C
Rationale: Neutropenic precautions are for immunocompromised clients to prevent infections. Airborne precautions are for pathogens spread through the air. Contact precautions prevent the spread of infections through direct or indirect contact. Droplet precautions are for pathogens spread through large droplets.
Question 4 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 5 of 5
The nurse is aware that the client who is prescribed medications for tuberculosis should have which laboratory test(s) assessed monthly?
Correct Answer: A
Rationale: Liver function tests (
A) monitor TB drug hepatotoxicity. WBCs (
B), coagulation (
C), and RBCs (
D) are not routinely monitored monthly.