ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client with a fracture of the left arm that has been set in a cast complains of severe, diffuse pain that is unrelieved by pain medication. The nurse notes that the pulse distal to the site of injury has weakened and that the tissue is pale. Which of the following nursing actions should the nurse perform first?
Correct Answer: A
Rationale: Contacting the provider first addresses potential compartment syndrome, a medical emergency. Administering pain medication may mask symptoms. Documenting or elevating the extremity delays critical intervention.
Question 2 of 5
A nurse is reinforcing teaching about TNM staging with a client who has cancer. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: M1 indicates tumor metastasis to a single site, meaning cancer has spread to another organ or distant lymph node. N0 indicates no lymph node involvement. TIS means tumor in situ, not resolved. T4 indicates the largest tumor size.
Question 3 of 5
A nurse is collecting data from a client who has a urinary tract infection. Which of the following findings should the nurse expect? Select all that apply.
Correct Answer: A,D,E
Rationale: Cloudy urine, urinary frequency, and dysuria indicate a urinary tract infection due to bacteria, bladder irritation, and pain. Muscle tetany suggests hypocalcemia. Calculi may complicate but are not a direct finding.
Question 4 of 5
A client is transported to the recovery area of the ambulatory care unit after cataract surgery. In which position does the nurse place the client?
Correct Answer: D
Rationale: Semi Fowler's position reduces intraocular pressure and promotes healing post-cataract surgery. Side lying, supine, or prone positions may increase pressure or swelling.
Question 5 of 5
The nurse is caring for a client who has a fractured tibia and is in a cast. Which of the following findings is a manifestation of compartment syndrome?
Correct Answer: B
Rationale: Slow capillary refill indicates compartment syndrome due to impaired blood flow from increased fascial pressure. Redness and warmth suggest infection. Reduced consciousness suggests other conditions. Pain and bleeding are not specific.