ATI RN
RN ATI Med Surg Exam Questions
Extract:
Question 1 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: C
Rationale: Localized erythema (redness) around the site of the puncture wound is a classic sign of inflammation and infection seen in acute osteomyelitis.
Question 2 of 5
A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?
Correct Answer: B
Rationale: Pallor (pale color) of the toes is an early sign of compromised blood circulation due to constriction from a tight cast.
Question 3 of 5
A nurse is caring for a client who has multiple long bone fractures caused by a motor-vehicle crash that happened 24 hr ago. The client tells the nurse he is short of breath and experiencing chest pain. The nurse should assess the client further for which of the following potential complications?
Correct Answer: C
Rationale: Venous thromboembolism (VTE) can cause chest pain and shortness of breath due to pulmonary embolism, especially after a traumatic injury or surgery.
Question 4 of 5
A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures?
Correct Answer: A
Rationale: Preoperative teaching should be realistic and focus on managing pain expectations post amputation. Gradual reduction in severe pain might be an achievable goal.
Question 5 of 5
A nurse is caring for a client who is postoperative hip arthroplasty and has a new prescription for enoxaparin 1 mg/kg/dose subcutaneous every 12 hr. The client weighs 95 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 43.2 mg
Rationale:
To calculate the dose: 95 lbs / 2.2 = 43.18 kg.
Then, 43.18 kg x 1 mg/kg = 43.18 mg, rounded to 43.2 mg.