ATI RN
ATI Custom MS Nurse Questions
Extract:
Older adult client 4 hr postoperative following an open reduction and internal fixation of a fractured femur
Question 1 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 with epilepsy experiencing a tonic-clonic seizure
Question 2 of 5
A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy. The client begins to experience a tonic-clonic seizure. Identify the sequence of steps the nurse should follow.
Correct Answer: A,B,D,C
Rationale: The correct sequence of steps is: remain with the client and call for help, place the client in the lateral position, check the client for injuries, and reorient and reassure the client. This ensures safety, airway protection, and post-seizure care.
Extract:
Client with an ankle sprain
Question 3 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: The nurse should instruct the client to elevate the affected ankle to the level of the heart. Elevation helps to reduce swelling and pain by promoting venous return and decreasing blood flow to the injured area.
Extract:
Client postoperative following a total hip arthroplasty
Question 4 of 5
A nurse is contributing to the plan of care for a client who is postoperative following a total hip arthroplasty. Which of the following information should the nurse include?
Correct Answer: C
Rationale: When contributing to the plan of care for a client who is postoperative following a total hip arthroplasty, the nurse should include information on preventing hip flexion of the affected extremity. This can help prevent dislocation of the new hip joint and promote healing.
Extract:
Client with a lower-leg cast reporting skin irritation around the upper edge
Question 5 of 5
A nurse is collecting data from a client who reports skin irritation around the upper edge of the cast. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: If a client reports skin irritation around the upper edge of a lower-leg cast, the nurse should petal the edges of the cast. This involves applying adhesive strips or moleskin around the edges of the cast to smooth them out and prevent them from rubbing against the skin.