ATI RN
ATI Custom Medical Surgical Nurse Exam 2 Questions
Extract:
Question 1 of 5
A nurse is assisting a client who is postoperative following a total hip arthroplasty into a supine position. Which of the following actions is appropriate to prevent hip dislocation?
Correct Answer: C
Rationale: A wedge pillow between the legs maintains proper alignment and prevents leg crossing or adduction, reducing the risk of hip dislocation. Trochanter rolls prevent external rotation, sandbags prevent foot drop, and footboards prevent plantar flexion contractures, none of which directly prevent dislocation.
Question 2 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 3 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.
Question 4 of 5
A nurse is reinforcing teaching with a client who has an ankle sprain. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Elevating the ankle to heart level reduces swelling per the RICE method. Tight compression, weight-bearing, and heat in the first 24 hours can worsen the injury.
Question 5 of 5
A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record?
Correct Answer: B
Rationale: The postictal phase follows a seizure, characterized by difficulty arousing and sleepiness. Absence seizures, automatisms, and aura phase do not describe this state.