ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse at an urgent care center is caring for four clients who all have leg or foot injuries. Which of the following client reports should suggest to the nurse that the client has an ankle sprain?
Correct Answer: B
Rationale: Twisting the foot while running or changing direction quickly, as often happens in sports like baseball, is a common mechanism for an ankle sprain. Sprains occur when the ligaments are stretched or torn due to excessive force or twisting.
Question 2 of 5
A nurse is caring for a client who has returned from the surgical suite following surgery for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority for the nurse to take?
Correct Answer: B
Rationale: Preventing aspiration is the priority because the client may have difficulty swallowing or controlling their airway due to the surgical procedure and fixation of the jaw. The nurse should ensure the client's airway is clear and that they are positioned appropriately to prevent aspiration.
Question 3 of 5
A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Assessing for neck vein distention, blood glucose levels, daily weight, and irregular heart rate are appropriate for Cushing's syndrome due to fluid retention, hyperglycemia, weight gain, and potential electrolyte imbalances. Postural hypotension is not typical.
Question 4 of 5
A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The first action should be to check the client's vital signs. Nausea and weakness are common symptoms of digoxin toxicity, which can cause bradycardia, arrhythmias, and other life-threatening complications. Checking the vital signs, particularly the heart rate, is critical to assess if the client is experiencing digoxin toxicity.
Question 5 of 5
A nurse is assessing a client who reports numbness and pain in his right palm, index finger, and middle finger. The client reports working with a keyboard most of the time while at work. The nurse suspects carpal tunnel syndrome. Which of the following tests should the nurse request that the client perform?
Correct Answer: B
Rationale: Holding the wrist at a 90-degree flexion is a classic test for carpal tunnel syndrome, known as the Phalen's test. This maneuver increases pressure on the median nerve, which can reproduce symptoms of numbness and tingling in the fingers, a characteristic sign of carpal tunnel syndrome.