ATI RN
ATI Custom Medical Surgical Nurse Exam 2 Questions
Extract:
Question 1 of 5
A nurse in a long-term care facility finds an older adult client lying on the floor next to the bed. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Checking for injuries is the priority to assess for trauma and provide immediate care. Sedation, calling family, or applying restraints are not appropriate initial actions and may delay necessary treatment.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a knee injury. When describing range-of-motion exercises, the nurse should explain that the knee is which of the following types of joints?
Correct Answer: B
Rationale: The knee is a hinge joint, allowing primarily flexion and extension. Pivot, ball and socket, and gliding joints have different movement patterns.
Question 3 of 5
An older adult client in an orthopedic unit has an intracapsular fracture of the right hip following a fall. The client is in Buck's traction and will have hip prosthesis surgery in the morning. The nurse should reinforce with the client that this type of traction promotes which of the following outcomes?
Correct Answer: D
Rationale: Buck’s traction relieves muscle spasms by applying gentle pressure to align the fracture. It does not reduce the fracture or involve pins.
Question 4 of 5
A nurse is collecting data from a client who fell at home and reported a brief loss of consciousness. Which of the following findings should the nurse immediately report to the charge nurse?
Correct Answer: D
Rationale: Clear fluid in the ear may indicate a cerebrospinal fluid leak, a serious complication of head injury requiring immediate attention. Bruising, disorientation, and tachycardia, while concerning, are less urgent.
Question 5 of 5
A nurse is collecting data from a client who has rheumatoid arthritis. Which of the following is an expected finding for this client?
Correct Answer: B
Rationale: Boutonniere deformity is a characteristic hand deformity in rheumatoid arthritis, involving a bent middle finger joint and hyperextended fingertip.
Tophi are associated with gout, osteoma with benign bone tumors, and Heberden's nodules with osteoarthritis.