ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
The client has had a total hip replacement. The nurse teaches the client about safe positions for the client for sexual intercourse. These include: (SELECT ALL THAT APPLY)
Correct Answer: A,E
Rationale: Side-lying on the unaffected side with pillows between the legs can maintain proper hip alignment and prevent dislocation, which is critical after a hip replacement. Side-lying on the affected side could cause risk of hip dislocation and is not recommended. The 'on hands and knees' position should be avoided as it may place strain on the hip joint and cause dislocation. 'Client on top' is typically not recommended as it can lead to excessive flexion or rotation of the hip, which could lead to dislocation. Lying supine can also be a safe position if the client avoids bending the hip past 90 degrees, which could cause dislocation.
Question 2 of 5
The client has had a total hip replacement. The nurse teaches the client about safe positions for the client for sexual intercourse. These include: (SELECT ALL THAT APPLY)
Correct Answer: A,E
Rationale: Side-lying on the unaffected side with pillows between the legs can maintain proper hip alignment and prevent dislocation, which is critical after a hip replacement. Side-lying on the affected side could cause risk of hip dislocation and is not recommended. The 'on hands and knees' position should be avoided as it may place strain on the hip joint and cause dislocation. 'Client on top' is typically not recommended as it can lead to excessive flexion or rotation of the hip, which could lead to dislocation. Lying supine can also be a safe position if the client avoids bending the hip past 90 degrees, which could cause dislocation.
Question 3 of 5
The nurse teaches a client that which factor might increase the risk of developing an exacerbation of systemic lupus erythematous (SLE)
Correct Answer: C
Rationale: Hypotension is not associated with SLE exacerbation. Heartburn is not a trigger for SLE flares. Fever can indicate infection or inflammation, common triggers for SLE exacerbations. Gout is unrelated to SLE exacerbation.
Question 4 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 5 of 5
The client diagnosed with pneumonia develops pleuritic chest pain. Which nursing action should the nurse implement at this time?
Correct Answer: C
Rationale: Splinting the chest (
C) reduces pleuritic pain. Notifying physician (
A), increasing oxygen (
B), or ECG (
D) are not primary interventions.