ATI RN
ATI Capstone Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a full arm cast and reports a pain level of 8 on a scale of 0 to 10, which is unrelieved by pain medication. Which of the following actions should the nurse plan to take first?
Correct Answer: A
Rationale: The correct answer is A: Check the circulation of the affected extremity. This should be the first action because the client's pain is unrelieved by medication, indicating a potential circulation issue that needs immediate attention to prevent complications like compartment syndrome. Checking circulation involves assessing for skin color, temperature, capillary refill, pulse, and sensation. Administering more pain medication (
B) without addressing the underlying cause may mask symptoms and delay proper treatment. Repositioning the extremity (
C) may worsen the condition if circulation is compromised. Documenting the findings (
D) is important but not the priority when the client is experiencing severe unrelieved pain.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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