ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client diagnosed with a fractured left tibia and fibula. Which data should the nurse report to the healthcare provider immediately?
Correct Answer: C
Rationale: The absence of pedal pulses and increasing pain suggest compromised circulation, possibly due to compartment syndrome, a medical emergency requiring immediate intervention. Other findings are expected or less urgent.
Question 2 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: Fat embolism syndrome is a serious complication of long bone fractures, presenting with respiratory distress and chest pain within 24-72 hours post-injury, matching the client's symptoms and timing.
Question 3 of 5
The nurse is caring for a client diagnosed with end-stage chronic obstructive pulmonary disease (COPD). Which of the following data warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: A respiratory rate of 28 breaths per minute indicates tachypnea and potential respiratory distress, requiring immediate assessment. Other findings are common or acceptable in end-stage COPD.
Question 4 of 5
A nurse is caring for an adolescent client whose right leg is in Buck's traction. Which of the following interventions should the nurse implement to promote the client's mobility?
Correct Answer: D
Rationale: Isometric exercises of both legs maintain muscle strength without disrupting traction, promoting mobility safely.
Question 5 of 5
A client receiving low molecular weight heparin subcutaneously to prevent DVT following hip replacement surgery reports to the nurse that she observed small purple hemorrhagic areas on the right and left sides of the abdomen. Which action should the nurse implement?
Correct Answer: B
Rationale: Small hemorrhagic areas (ecchymosis) at injection sites are a common side effect of low molecular weight heparin and do not require immediate escalation.