ATI RN
RN ATI Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures?
Correct Answer: A
Rationale: Preoperative teaching should be realistic and focus on managing pain expectations post amputation. Gradual reduction in severe pain might be an achievable goal.
Question 2 of 5
A nurse is preparing to administer a continuous heparin infusion at 1600 units/hr. Available is heparin 25.000 units in dextrose 5% in water (DSW) 500 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 32 mL
Rationale: mL/hr = (1600 units/hr x 500 mL) / 25,000 units = 32 mL/hr.
Question 3 of 5
A nurse assessing a client who has multiple fractures in his left leg notes increasing edema. The nurse should recognize this finding as an early manifestation of which of the following complications?
Correct Answer: C
Rationale: Acute compartment syndrome presents with increasing edema, pain, and possible neurological deficits due to increased pressure within a closed fascial compartment.
Question 4 of 5
A nurse is assessing a client at a follow-up clinic visit for acute low back pain. A goal for this client is to use proper body mechanics at all times. Which of the following findings indicates that the client is meeting this goal?
Correct Answer: A
Rationale: Placing weight on the heels helps maintain better balance and proper body mechanics when moving an object.
Question 5 of 5
A nurse in the emergency department is caring for a client who has a compression fracture of a spinal vertebra. During transport to the facility, the client was medicated with intravenous morphine. On arrival, the neurosurgeon determined urgent surgical intervention is indicated for the fracture. Staff members have been unable to reach the client's family. Which of the following actions should the nurse anticipate the neurosurgeon taking?
Correct Answer: C
Rationale: In emergency situations where the client is incapacitated, implied consent may be invoked when urgent surgical intervention is required, and efforts to contact family have been unsuccessful.