ATI RN
ATI Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new short-leg cast on his lower leg to treat an ankle fracture. Which of the following findings requires immediate notification of the provider?
Correct Answer: D
Rationale: Inability to flex toes suggests potential neurovascular compromise, such as nerve or circulatory impairment, requiring immediate provider notification to prevent complications.
Question 2 of 5
A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?
Correct Answer: B
Rationale: Pallor of the toes is the earliest sign of circulatory impairment due to a tight cast, indicating compromised blood flow that requires immediate attention.
Question 3 of 5
A nurse is caring for a client who is postoperative hip arthroplasty and has a new prescription for enoxaparin 1 mg/kg/dose subcutaneously every 12 hr. The client weighs 95 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 43.2 mg
Rationale: Converting 95 lbs to 43.18 kg (95 / 2.2), then multiplying by 1 mg/kg gives 43.18 mg, rounded to 43.2 mg per dose, ensuring accurate anticoagulation.
Question 4 of 5
A nurse is assessing a client who has carpal tunnel syndrome. The nurse should expect which of the following findings?
Correct Answer: D
Rationale: Positive Phalen's sign, where wrist flexion causes tingling or numbness in the median nerve distribution, is a hallmark of carpal tunnel syndrome.
Question 5 of 5
A nurse is caring for a client who has fractures of the symphysis pubis and pelvis. The nurse should monitor the client for which of the following findings of a common complication of pelvic fractures?
Correct Answer: A
Rationale: Hematuria is a common complication of pelvic fractures due to potential bladder or urinary tract injury, requiring close monitoring.