ATI RN
ATI Custom MS Nurse Questions
Extract:
Woman collapsed with right-sided weakness and slurred speech
Question 1 of 5
A nurse is shopping and finds a woman who has collapsed with right-sided weakness and slurred speech. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The nurse should call emergency medical services if they find a woman who has collapsed with right-sided weakness and slurred speech. These symptoms could indicate a stroke or other serious medical condition that requires immediate medical attention.
Extract:
Client with increased intracranial pressure demonstrating decorticate posturing
Question 2 of 5
A nurse is collecting data from a client who has increased intracranial pressure and is informed by the charge nurse that the client demonstrates decorticate posturing. Which of the following findings should the nurse expect to observe?
Correct Answer: D
Rationale: In decorticate posturing, the lower extremities typically exhibit plantar flexion. Additionally, the upper extremities show flexion of the arms, wrists, and fingers with adduction of the arms.
Extract:
Client with a lower-leg cast reporting skin irritation around the upper edge
Question 3 of 5
A nurse is collecting data from a client who reports skin irritation around the upper edge of the cast. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: If a client reports skin irritation around the upper edge of a lower-leg cast, the nurse should petal the edges of the cast. This involves applying adhesive strips or moleskin around the edges of the cast to smooth them out and prevent them from rubbing against the skin.
Extract:
Client who fell and injured her ankle, ankle appears swollen and ecchymotic
Question 4 of 5
A nurse in an urgent care centre is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. Which of the following interventions should the nurse take?
Correct Answer: A,D,E
Rationale: Applying a compression bandage to the client's ankle can help reduce swelling and provide support. Elevating the client's foot can also help reduce swelling by promoting venous return. Checking the client's toes for color, temperature, and sensation is important to assess for any potential nerve or vascular damage.
Extract:
Older adult at risk for falls
Question 5 of 5
A nurse is assisting with the development of a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse contribute to the plan?
Correct Answer: C,D,E
Rationale: Keeping a night light on in the client's room and bathroom can help reduce the risk of falls by improving visibility. Placing the bedside table within the client's reach can help reduce the risk of falls by making it easier for the client to access necessary items. Locking the wheels on beds and wheelchairs during transfers can help reduce the risk of falls by providing stability.