ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?
Correct Answer: C
Rationale: Instructing the client to wiggle his toes assesses motor function and circulation to the distal extremities, which are crucial for neurovascular status.
Question 2 of 5
A nurse is performing pulmonary hygiene for a client who has pneumonia and positions the client on his left side in Trendelenburg position. From which of the following lung segments should the nurse expect secretions to be mobilized with this position?
Correct Answer: A
Rationale: Placing the client on the left side in Trendelenburg position promotes drainage from the right lower lobe's lateral segment by using gravity to mobilize secretions.
Question 3 of 5
A nurse is caring for a client who has Paget's disease of the bone. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Bone pain, hearing loss, cranial enlargement, and vision deficits are all potential symptoms of Paget's disease due to abnormal bone remodeling and nerve compression.
Question 4 of 5
A nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply)
Correct Answer: B,C,D
Rationale: Handheld metal detectors can interfere with pacemaker function, so requesting a manual search is appropriate. Monitoring the pulse daily ensures pacemaker functionality. Avoiding tight clothing prevents discomfort and interference with the pacemaker.
Question 5 of 5
A nurse is caring for a client who has an epidural hematoma. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: An epidural hematoma often presents with a brief period of lucidity followed by a rapid decline in consciousness due to arterial bleeding.