ATI RN
ATI Custom MS Nurse Questions
Extract:
Client with acute osteomyelitis
Question 1 of 5
A nurse is assisting with the care of a newly-admitted client who has acute osteomyelitis. Which of the following interventions is the priority for the nurse to implement?
Correct Answer: C
Rationale: The priority intervention for the nurse to implement for a newly-admitted client who has acute osteomyelitis is antibiotic therapy. Osteomyelitis is an inflammatory condition of bone secondary to an infectious process. Antibiotics are the primary treatment option and should be tailored based on culture results and individual patient factors.
Extract:
Older adult client 4 hr postoperative following an open reduction and internal fixation of a fractured femur
Question 2 of 5
A nurse is assisting with the plan of care for an older adult client who is 4 hr postoperative following an open reduction and internal fixation of a fractured femur. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Checking capillary refill in the affected extremity every 4 hr is an important intervention to monitor the blood flow to the affected extremity and ensure that it is adequate.
Extract:
Client difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure
Question 3 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 nurse should use the term 'postictal phase' when documenting the client's difficulty arousing and sleepiness for several hours following a generalized tonic-clonic seizure. The postictal phase is the period of time immediately following a seizure during which the client may be difficult to arouse and very sleepy.
Extract:
Client with a fracture
Question 4 of 5
A nurse is contributing to the plan of care for a client to achieve the outcome of functional healing of a fracture. Which of the following nursing interventions is the highest priority to assist in meeting this outcome?
Correct Answer: C
Rationale: When contributing to the plan of care for a client to achieve the outcome of functional healing of a fracture, the highest priority nursing intervention to assist in meeting this outcome is to maintain immobilization and alignment for the client. This helps to ensure that the bones are in the correct position to heal properly.
Extract:
Client with head injury, Glasgow Coma Scale score of 3 for eye opening, 5 for best verbal response, 5 for best motor response
Question 5 of 5
A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?
Correct Answer: D
Rationale: An appropriate conclusion based on this data is that the client opens his eyes when spoken to. A GCS score of 3 for eye opening indicates that the client opens his eyes in response to voice.