Questions 44

ATI RN

ATI RN Test Bank

ATI Custom Medical Surgical Nurse Exam 2 Questions

Extract:


Question 1 of 5

A nurse in the emergency department is assisting with the care of a client who has myasthenia gravis and is in crisis. The nurse should identify which of the following factors can cause a myasthenic crisis.

Correct Answer: B

Rationale: A respiratory infection can exacerbate myasthenia gravis symptoms, triggering a myasthenic crisis with severe breathing and swallowing difficulties. Overmedication, insufficient sleep, or exercise do not typically cause a crisis.

Question 2 of 5

A nurse is reinforcing teaching about Russell's traction with a newly licensed nurse. Which of the following statements should the nurse make?

Correct Answer: A

Rationale: Russell's traction involves a sling under the knee with weights to immobilize and align a fractured femur. Other options describe different traction types or incorrect applications.

Question 3 of 5

A nurse at a community health clinic is caring for a client who reports a headache and stiff neck. Which of the following actions should the nurse perform first?

Correct Answer: C

Rationale: Checking the temperature assesses for fever, a key symptom of meningitis, which may present with headache and stiff neck. Other actions follow based on findings.

Question 4 of 5

A nurse in a clinic is collecting data from an older adult client who has a new diagnosis of osteoarthritis. Which of the following medications should the nurse anticipate the provider will initially prescribe to the client?

Correct Answer: C

Rationale: Acetaminophen is typically the first-line treatment for mild to moderate osteoarthritis pain due to its safety profile. Other medications may be considered later.

Question 5 of 5

A nurse in an urgent care center is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. Which of the following interventions should the nurse take? (Select all that apply)

Correct Answer: A,D,E

Rationale: Applying a compression bandage reduces swelling and supports the injured area. Elevating the foot promotes venous return to decrease swelling. Checking toes for color, temperature, and sensation assesses for nerve or vascular damage. Heat can increase swelling and inflammation, and encouraging range of motion may worsen the injury.

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