ATI RN
ATI Detailed Answer Key Medical Surgical Questions
Question 1 of 5
A male client has returned to the Unit following a left femoral popliteal bypass graft. Six hours later, the client's dorsalis pedis pulse cannot be palpated and his foot is cool and dusky. The nurse should:
Correct Answer: B
Rationale: The client is losing the blood supply to his left foot. Continuing to monitor will not restore the blood supply to the foot. The physician should be notified immediately because the client is losing the blood supply to his left foot and is in danger of losing his foot and/or his leg. It is the responsibility of the nurse caring for the client to notify the physician, not the head nurse. This would be giving the client false assurances, which is unethical, demeaning, and could have legal consequences.
Question 2 of 5
Which physical assessment finding should be reported to the physician?
Correct Answer: C
Rationale: A bulging red or blue tympanic membrane indicates acute otitis media or other serious conditions requiring medical intervention.
Question 3 of 5
Patient teaching for risk reduction of skin cancer should include
Correct Answer: A
Rationale: Regular monitoring of moles and avoiding excessive sun exposure are vital for skin cancer prevention.
Question 4 of 5
For a client who has sustained recent blindness, which task(s) would be appropriate to delegate to the nursing assistant? (Choose all that apply.)
Correct Answer: B
Rationale: Assisting with mobility is within the scope of practice for nursing assistants and ensures safety for the client.
Question 5 of 5
Can a client use massage along with chemotherapy treatments for breast cancer?
Correct Answer: B
Rationale: Massage therapy can alleviate side effects like pain and fatigue, complementing chemotherapy when approved by healthcare providers.