ATI Custom MS Nurse | Nurselytic

Questions 47

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ATI Custom MS Nurse Questions

Extract:

Client with a cast on right leg


Question 1 of 5

While collecting data from a client who has a cast on his right leg, a nurse locates an area on the cast that feels warm to the touch. Which of the following findings should the nurse identify as a complication to the client's condition?

Correct Answer: B

Rationale: The nurse should identify infection as a complication to the client's condition. A warm area on the cast could indicate the presence of an underlying infection. The warmth could be due to an increase in blood flow to the area as the body tries to fight off the infection.

Extract:

Client with rheumatoid arthritis


Question 2 of 5

A nurse is collecting data from a client who has rheumatoid arthritis. Which of the following is an expected finding for this client?

Correct Answer: B

Rationale: Boutonniere deformity is an expected finding for a client who has rheumatoid arthritis. It is a type of hand deformity that can occur in people with rheumatoid arthritis. It is characterized by a bent middle finger joint and a hyperextended fingertip.

Extract:

Client with head injury, Glasgow Coma Scale score of 3 for eye opening, 5 for best verbal response, 5 for best motor response


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: An appropriate conclusion based on this data is that the client opens his eyes when spoken to. A GCS score of 3 for eye opening indicates that the client opens his eyes in response to voice.

Extract:

Client postoperative following total hip arthroplasty


Question 4 of 5

A nurse is assisting a client who is postoperative following a total hip arthroplasty into a supine position. Which of the following actions is appropriate to prevent hip dislocation?

Correct Answer: C

Rationale: An appropriate action to prevent hip dislocation in a client who is postoperative following a total hip arthroplasty is to place a wedge pillow between the legs. This helps to maintain proper alignment and prevent the legs from crossing or adducting, which can cause hip dislocation.

Extract:

Client postoperative following right total hip arthroplasty


Question 5 of 5

A nurse is caring for a client who is postoperative following a right total hip arthroplasty. In which of the following positions should the nurse place the client's right leg?

Correct Answer: B

Rationale: The nurse should place the client's right leg in abduction following a right total hip arthroplasty. Abduction means moving the leg away from the midline of the body. This position helps to prevent hip dislocation by keeping the hip joint in proper alignment.

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