ATI RN
ATI N200 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is assisting the client with arm and shoulder exercises on the first post-op day following a right-sided thoracotomy. The client reports pain with the exercise and wants to know why they must be performed. What explanation should the nurse provide? The exercises:
Correct Answer: C
Rationale: Exercises prevent stiffening and maintain function (
C). They don't primarily increase blood flow (
A), expand the left lung (
B), or rebuild muscle (
D).
Question 2 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 3 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 4 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 5 of 5
The nurse is preparing to teach a client how to effectively perform pursed-lip breathing. The nurse would include which intervention in the teaching?
Correct Answer: D
Rationale: Exhaling slowly through pursed lips (
D) improves ventilation. Quick exhalation (
A), huff inhalation (
B), and pursed-lip inhalation (
C) are incorrect.