ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client is admitted with a dislocation of the right shoulder. The nurse knows this is an orthopedic emergency and that the priority for treatment will be:
Correct Answer: A
Rationale: The priority in treating a dislocated joint is to realign the dislocated bones to their proper position, which is crucial to prevent damage to the surrounding nerves, blood vessels, and muscles. This should be done promptly under medical supervision, often requiring sedation or pain management. Teaching the client to avoid contact sports is important for long-term care, but not an immediate priority in the acute phase. Applying a sling helps support the joint, but it is not the first priority; realignment of theJ
Question 2 of 5
Your neighbor returns home from the Emergency Department following treatment for a right ankle sprain and asks you, a nurse, to explain what will happen now that he is home. You recognize that continuing short term treatment will most likely include: (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,E
Rationale: Elevating the leg helps reduce swelling by promoting venous return and decreasing fluid accumulation. Reducing activity helps prevent further injury and allows the healing process to begin. Applying ice helps reduce swelling and pain in the acute phase of a sprain. Traction is typically not used for a sprained ankle unless there is a fracture or more severe injury, which is not typical for sprains. An ACE bandage or wrap provides compression, which helps control swelling and supports the injured area.
Question 3 of 5
The nurse understands that the placement of a pillow under the knee of a client with a total knee replacement is contraindicated because it will:
Correct Answer: B
Rationale: While pain may increase if the knee is positioned improperly, the primary concern is the development of a contracture. Placing a pillow under the knee after total knee replacement can promote a flexion contracture, which results in the inability to fully extend the knee. This is undesirable as it can limit mobility and function post-surgery. The pillow does not stop circulation to the extremity directly. A pillow under the knee is not typically associated with skin breakdown unless the client is immobile for extended periods, but the risk of contracture is a more immediate concern.
Question 4 of 5
The nurse is attempting to assist a cognitively-impaired adult to maintain bladder continence. Which intervention is most appropriate?
Correct Answer: B
Rationale: Incontinence briefs are appropriate for overnight use but do not encourage independence in bladder management during the day. Providing easy-to-remove clothing is a practical intervention that enhances the client's independence in managing toileting, especially if they have cognitive impairments. It ensures that the client can quickly respond to the urge to urinate. Explaining the use of a call bell is helpful but may not be the most appropriate approach for a cognitively-impaired client who may forget or struggle with communication. Asking the client every two hours if they need to urinate is helpful but may not be as effective as providing easy access to clothing for quick toileting.
Question 5 of 5
A client with newly diagnosed rheumatoid arthritis asks the nurse what happens to the joint with this disease. Which explanation by the nurse is most accurate?
Correct Answer: D
Rationale: This description is more characteristic of osteoarthritis, where cartilage wear and tear occur. This explanation is more related to chronic pain syndromes, not specifically RA. The presence of crystals in the joint is a characteristic of gout, not RA. Rheumatoid arthritis (R
A) is an autoimmune condition in which the body's immune system attacks the synovial lining of the joints, causing inflammation, pain, and eventually joint destruction.