ATI RN
ATI Custom Medical Surgical Nurse Exam 2 Questions
Extract:
Question 1 of 5
A nurse contributes to the plan of care for a client to achieve the outcome of functional healing of a fracture. Which of the following nursing interventions is the highest priority to assist in meeting this outcome?
Correct Answer: C
Rationale: Maintaining immobilization and alignment ensures proper bone healing, preventing complications like malunion. Other interventions are supportive but secondary.
Question 2 of 5
A nurse is assisting in the planning of preventative care for a client who is restless following a traumatic brain injury with increased intracranial pressure. Which of the following is an appropriate nursing action?
Correct Answer: C
Rationale: Reducing stimuli (e.g., noise, light, visitors) calms the client and prevents further increases in intracranial pressure. Opioids, restraints, or complete darkness may be inappropriate or less effective.
Question 3 of 5
A nurse is contributing to the plan of care for a client who is postoperative following a total hip arthroplasty. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Preventing hip flexion avoids dislocation of the new hip joint.
Touching extremities or heels and avoiding all movement are not necessary or correct.
Question 4 of 5
A nurse is assisting with the development of a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse contribute to the plan? (Select all that apply)
Correct Answer: C,D,E
Rationale: Night lights improve visibility, a reachable bedside table reduces unnecessary movement, and locked wheels ensure stability, all reducing fall risk. Sedatives and bed height do not directly prevent falls.
Question 5 of 5
A nurse is collecting data from a client who has an exacerbation of gout. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Edema, tophi, and erythema are expected in gout due to urate crystal accumulation causing inflammation. Tight skin and symmetrical joint pain are not typical, as gout usually affects one joint.