ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a fractured tibia as a result of a fall. The client's x-ray shows that the bone is splintered into several pieces around the shaft. The nurse should identify that the client has which of the following types of fractures?
Correct Answer: D
Rationale: A comminuted fracture involves the bone breaking into multiple fragments, matching the description of splintering into several pieces.
Question 2 of 5
A client suffered a fractured femur and is scheduled for surgery one day after sustaining the injury. The client develops acute respiratory distress syndrome (ARDS) and the healthcare provider suspects fat embolism (FES) based on which of the following clinical manifestations? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Decreased PaO2 <60mmHg, decreased platelet count and hematocrit, and ECG changes (ST segment and T-wave) are clinical manifestations of fat embolism syndrome, indicating hypoxemia, DIC, and myocardial effects.
Question 3 of 5
A nurse is caring for a client who has a three-chamber closed chest tube system. Which of the following actions should the nurse take after noticing a rise in the water seal chamber with client inspiration?
Correct Answer: C
Rationale: A rise in the water seal chamber with inspiration (tidaling) is normal, indicating lung re-expansion. The nurse should continue monitoring for other changes.
Question 4 of 5
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and a prescription for oxygen therapy at 4L/min via nasal cannula. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Attaching a humidifier bottle to the base of the flow meter is the correct action for oxygen therapy at 4L/min. Humidification helps prevent dryness and irritation of the mucous membranes caused by prolonged oxygen therapy. Securing the oxygen tubing to the bed sheet may lead to disconnection or kinking. Removing the nasal cannula during eating can cause hypoxia. Petroleum jelly is flammable and unsafe with oxygen.
Question 5 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.