ATI RN
RN ATI Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse assessing a client who has multiple fractures in his left leg notes increasing edema. The nurse should recognize this finding as an early manifestation of which of the following complications?
Correct Answer: C
Rationale: Acute compartment syndrome presents with increasing edema, pain, and possible neurological deficits due to increased pressure within a closed fascial compartment.
Question 2 of 5
A nurse is assessing the elastic bandage on the stump of a client who had a right below-the-knee amputation. Which of the following findings should the nurse identify as a complication?
Correct Answer: B
Rationale: The dressing forming a cone shape over the stump suggests excessive tightness, which can impede circulation and create a tourniquet effect, leading to complications.
Question 3 of 5
A nurse is teaching a newly licensed nurse about the difference between a plaster cast and a synthetic cast. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Synthetic casts are generally lighter than plaster casts, enhancing patient comfort.
Question 4 of 5
A nurse is preparing a client who is postoperative following a below-the-knee amputation for a leg prosthesis fitting. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Wrapping the stump in a figure-eight configuration with an elastic bandage helps in shaping and reducing swelling, aiding in proper prosthesis fitting.
Question 5 of 5
A nurse in the emergency department is caring for a client who has a compression fracture of a spinal vertebra. During transport to the facility, the client was medicated with intravenous morphine. On arrival, the neurosurgeon determined urgent surgical intervention is indicated for the fracture. Staff members have been unable to reach the client's family. Which of the following actions should the nurse anticipate the neurosurgeon taking?
Correct Answer: C
Rationale: In emergency situations where the client is incapacitated, implied consent may be invoked when urgent surgical intervention is required, and efforts to contact family have been unsuccessful.