ATI RN
ATI Custom Medical Surgical Nurse Exam 2 Questions
Question 1 of 5
A client returns to the surgical unit from the PACU in skeletal traction. The nurses should take action to correct this. Which of the following problems with the traction setup?
Correct Answer: A
Rationale: Weights resting against the bed reduce traction effectiveness and must be corrected to hang freely. Other options describe correct traction setup.
Question 2 of 5
A nurse is completing a neurovascular check for a client who had an open reduction internal fixation surgery. Which of the following findings should the nurse identify as possible manifestations of compartment syndrome? (Select all that apply)
Correct Answer: A,B,C
Rationale: Absence of pulse, altered sensation, and cool skin indicate compartment syndrome due to increased pressure impairing blood flow and nerve function. Pain relief by narcotics and normal capillary refill are not typical signs.
Question 3 of 5
A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye-opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?
Correct Answer: D
Rationale: A GCS score of 3 for eye-opening indicates the client opens their eyes in response to voice, making option D correct. The client is not unconscious, can make vocal sounds (verbal score of 5), and may not follow commands (motor score of 5 indicates localizing pain).
Question 4 of 5
A nurse enters a client's room and finds the client on the floor in the clonic phase of a tonic-clonic seizure. Which of the following interventions should the nurse take?
Correct Answer: D
Rationale: Placing a pillow under the head protects the client from head injury during a seizure. Inserting objects, restraining, or forcing a supine position can cause harm or worsen the seizure.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a knee injury. When describing range-of-motion exercises, the nurse should explain that the knee is which of the following types of joints?
Correct Answer: B
Rationale: The knee is a hinge joint, allowing primarily flexion and extension. Pivot, ball and socket, and gliding joints have different movement patterns.