ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?
Correct Answer: B
Rationale: Administering oxygen therapy is the priority to address hypoxemia caused by pulmonary embolism, improving tissue oxygenation while other interventions are initiated.
Question 2 of 5
A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck's extension traction. The nurse should include which of the following information in the teaching?
Correct Answer: C
Rationale: Buck's traction relieves muscle spasms and maintains alignment, reducing pain and preventing further injury in hip fractures.
Question 3 of 5
A nurse is providing discharge teaching to a client who has a Plaster of Paris walking cast on his left lower leg. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Numbness or pain in the toes may indicate impaired circulation or nerve compression, requiring immediate attention. A musty odor suggests infection, ice is not typically recommended, and the cast must be kept dry.
Question 4 of 5
A patient on prolonged bedrest following a pelvic fracture becomes dyspneic and confused. Pulse = 135 beats/minute, blood pressure = 90/50 mmHg, respirations = 36/minute, Oxygen saturation starts dropping rapidly. Which of the following conditions should the nurse prepare to treat for this patient?
Correct Answer: C
Rationale: The patient's symptoms (dyspnea, confusion, tachycardia, hypotension, and desaturation) after prolonged bedrest suggest pulmonary embolism, a life-threatening condition requiring urgent treatment.
Question 5 of 5
A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?
Correct Answer: D
Rationale: Movement of the trachea toward the unaffected side indicates tension pneumothorax, a life-threatening condition requiring immediate provider notification and intervention.