ATI RN
ATI Custom Medical Surgical Nurse Exam 2 Questions
Question 1 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 2 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.
Question 3 of 5
A nurse in a clinic is collecting data from an older adult client who has a new diagnosis of osteoarthritis. Which of the following medications should the nurse anticipate the provider will initially prescribe to the client?
Correct Answer: C
Rationale: Acetaminophen is typically the first-line treatment for mild to moderate osteoarthritis pain due to its safety profile. Other medications may be considered later.
Question 4 of 5
A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent autonomic dysreflexia?
Correct Answer: C
Rationale: Preventing bladder distention reduces the risk of autonomic dysreflexia, which can be triggered by a full bladder or bowels. Monitoring and analgesia are not preventive measures.
Question 5 of 5
A nurse is collecting data from a client who fell at home and reported a brief loss of consciousness. Which of the following findings should the nurse immediately report to the charge nurse?
Correct Answer: D
Rationale: Clear fluid in the ear may indicate a cerebrospinal fluid leak, a serious complication of head injury requiring immediate attention. Bruising, disorientation, and tachycardia, while concerning, are less urgent.