ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an acute ankle sprain. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Elevating the ankle, applying a compression bandage, and encouraging rest are appropriate actions for an acute ankle sprain to reduce swelling, support the injury, and promote healing. Passive range-of-motion exercises and applying heat can exacerbate the injury in the acute phase.
Question 2 of 5
A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Applying ice to the affected area is recommended after arthroscopic knee surgery to reduce swelling and pain. Ice helps control inflammation and promotes healing.
Question 3 of 5
The nurse plans of care for a patient who has a fractured femur. During the 24 to 48 hours after the fracture, the nurse monitors the patient for the development of which complication?
Correct Answer: B
Rationale: Fat embolism syndrome (FES) is a serious complication that can occur within 24 to 48 hours after a long bone fracture, especially a femur fracture. Fat droplets from the bone marrow can enter the bloodstream, leading to embolism in the lungs, brain, or heart, causing symptoms such as respiratory distress, confusion, and petechial rash.
Question 4 of 5
A nurse is caring for a client who had a left hip arthroplasty. Which of the following interventions should the nurse use to prevent dislocation?
Correct Answer: D
Rationale: Maintaining a foam wedge between the legs is the most effective intervention to prevent hip dislocation. The wedge keeps the hips in proper alignment and prevents excessive internal rotation or adduction, which are common causes of dislocation after hip arthroplasty.
Question 5 of 5
A nurse is preparing a community presentation about repetitive motion injuries. Which of the following occupations should the nurse identify as increasing a client's risk for carpal tunnel syndrome?
Correct Answer: A
Rationale: Nursing assistants are at an increased risk for carpal tunnel syndrome due to the repetitive nature of tasks like lifting, transferring, and assisting patients, which can lead to strain on the wrist and pressure on the median nerve.