ATI RN
ATI Med Surg 102 Questions
Question 1 of 5
A client is brought to the emergency department by ambulance after stepping in a hole and falling. During the assessment, the nurse notes that the right leg is shorter than the left leg the right hip is noticeably deformed and acute pain is noted. Imaging does not reveal a fracture. What is the most likely explanation for this client's signs and symptoms?
Correct Answer: A
Rationale: Right hip dislocation causes the femoral head to be displaced from the acetabulum, leading to leg shortening, deformity, and acute pain without a fracture, as seen in this client.
Question 2 of 5
A home health nurse is seeing an elderly male client for the first time. During the physical assessment of the skin on the lower legs the skin is pale and cool to touch. The nurse notes small circular ulcers on the soles of his feet. From these findings, the nurse knows that the client has a problem with circulation. Which of the circulation condition does the nurse suspect?
Correct Answer: D
Rationale: Pale, cool skin and circular ulcers on the feet indicate arterial insufficiency, characterized by reduced blood flow leading to tissue ischemia and ulceration.
Question 3 of 5
A nurse is completing a risk assessment on a new admission. Which standardized scale will the nurse use to calculate the client's risk for pressure ulcers?
Correct Answer: B
Rationale: The Braden Scale assesses risk for pressure ulcers by evaluating sensory perception, moisture, activity, mobility, nutrition, and friction/shear, unlike the other scales which focus on falls or stool classification.
Question 4 of 5
A nurse is teaching an older adult client who has osteoporosis about beginning a program of regular physical activity. Which of the following recommendations should the nurse make?
Correct Answer: A
Rationale: Stretching exercises improve flexibility and balance, reducing fall risk in osteoporosis patients, while high-impact activities may increase fracture risk.
Question 5 of 5
A nurse educator is providing an in-service to nursing staff about urinary tract infections (UTP). Which statements made by the staff validate they understand the etiology and pathophysiology of UTIs? Select all that apply.
Correct Answer: A,B,C,E
Rationale: A: Correct, urethrovesical reflux can introduce bacteria into the bladder, increasing UTI risk. B: Incorrect, women have shorter urethras, increasing UTI risk, but the statement is correct in context of prevalence. C: Correct, GAG protects against bacterial adherence. D: Incorrect, E. coli is the most common cause. E: Correct, the urinary tract above the urethra is normally sterile.