ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a left lower arm fracture. Which of the following findings indicates impaired venous return in the client's affected arm?
Correct Answer: B
Rationale: Increasing edema is a key sign of impaired venous return. When the veins are not effectively draining blood, fluid accumulates in the tissues, causing swelling. This is a critical sign of venous insufficiency or compromised circulation.
Question 2 of 5
A patient with a long leg cast reports pain in the toes. The nurse discovers that the toes are pale and cool to the touch with intact pulses and minimal neuropathy. The findings indicate that the patient may be experiencing which complications?
Correct Answer: C
Rationale: Compartment syndrome occurs when there is increased pressure within a muscle compartment, leading to reduced blood flow. The symptoms of pale, cool toes with pain and intact pulses are indicative of impaired circulation due to increased pressure, which is a hallmark of compartment syndrome. This is a medical emergency that requires prompt intervention.
Question 3 of 5
A nurse is assessing a client who has a puncture wound on his foot. Which of the following findings is a manifestation of acute osteomyelitis?
Correct Answer: A
Rationale: Localized erythema is a manifestation of acute osteomyelitis, as the infection causes redness, warmth, and swelling over the affected area due to the body's inflammatory response.
Question 4 of 5
A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following actions should the nurse take when caring for the client's Jackson-Pratt (JP) drain?
Correct Answer: A
Rationale: After emptying a Jackson-Pratt drain, the air must be expelled from the bulb to re-establish suction. This helps maintain negative pressure, ensuring the effective drainage of fluid from the surgical site.
Question 5 of 5
A patient who is scheduled for gastric bypass surgery asks for information about dumping syndrome. How does the nurse explain dumping syndrome?
Correct Answer: C
Rationale: Dumping syndrome occurs when food, especially sugar, moves too quickly from the stomach into the small intestine, overwhelming the digestive system. This leads to symptoms like abdominal cramping, dizziness, and diarrhea.