ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
A client with traumatic injuries has a comminuted open fracture of the femur that has been placed in an external fixator. The nurse recognizes that compartment syndrome is associated with which clinical assessment finding?
Correct Answer: D
Rationale: Scratching around pin sites is more indicative of skin irritation or infection, not compartment syndrome. Accumulation of flaky skin is generally unrelated to compartment syndrome and might be a sign of poor circulation or prolonged immobility. Dry serosanguineous drainage is common after surgery and would not specifically indicate compartment syndrome. Compartment syndrome is a serious condition where increased pressure within a muscle compartment can lead to ischemia and tissue damage. Pain, particularly pain that is out of proportion to the injury or pain when the limb is at rest, is a classic sign.
Question 2 of 5
A client with left lower lobe pneumonia has activity intolerance related to impaired oxygen supply and demand as evidenced by fatigue, dyspnea, and difficulty performing self-care. Which expected outcome must be included in the care plan related to this problem? The client will:
Correct Answer: C
Rationale: Performing self-care without dyspnea (
C) addresses activity intolerance. Oximetry (
A), respiratory rate (
B), and clear breath sounds (
D) are less specific.
Question 3 of 5
The nurse is caring for a client newly diagnosed with Clostridium difficile. This client should be placed on which type of precautions?
Correct Answer: C
Rationale: Neutropenic precautions are for immunocompromised clients to prevent infections. Airborne precautions are for pathogens spread through the air. Contact precautions prevent the spread of infections through direct or indirect contact. Droplet precautions are for pathogens spread through large droplets.
Question 4 of 5
A client describes low back pain that radiates down one leg. Which factors that aggravate the pain increase the likelihood that this client has a herniated disc? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D
Rationale: Dancing, although it can involve movement and stress on the body, is not as directly associated with aggravating a herniated disc compared to the other listed factors. Sneezing and coughing can increase intra-abdominal pressure and aggravate a herniated disc by putting more stress on the affected area of the spine. Lifting a heavy box from a high position requires bending and twisting, which can exacerbate a herniated disc. Prolonged standing or sitting can increase pressure on the spine, especially in the lower back, and aggravate symptoms of a herniated disc. Lying down generally relieves pressure on the spine and is less likely to aggravate a herniated disc.
Question 5 of 5
The nurse must administer 1600 mL of total parenteral nutrition (TPN) over 24 hours. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest tenth, do not use trailing zeros, use a leading zero if it applies)
Correct Answer: 66.7 mL/hr
Rationale: 1600 mL ÷ 24 hr = 66.7 mL/hr (
A).