ATI RN
RN ATI Med Surg Exam Questions
Extract:
Question 1 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 (blood in the urine) can occur due to damage to the urinary structures in pelvic fractures, indicating potential injury to the bladder or urethra.
Extract:
Respiratory rate: 18/min
Blood pressure: 132/82 mm Hg SaO2: 96% on room air
Day 2
0600:
Temperature: 38.4°C (101.1°F) Heart rate: 92/min
Respiratory rate: 24/min
Blood pressure: 142/80 mm Hg SaO2: 94% on room air
Question 2 of 5
For each potential precaution, click to specify if the precaution is indicated or contraindicated for a client who has had a total hip arthroplasty.
| Options | indicated | contraindicated |
|---|---|---|
| Encourage the client to cough and deep breathe every 2 hr. | ||
| Obtain a culture of the drainage from the surgical site. | ||
| Anticipate the administration of antibiotics. | ||
| Ensure an abductor pillow is in place while the client is in bed. |
Correct Answer: A,B,C,E
Rationale: A: Encouraging coughing and deep breathing helps prevent postoperative complications like atelectasis and pneumonia. B: Obtaining a culture can help identify potential pathogens. C: A temperature rise could indicate infection, so antibiotics might be necessary. E: An abductor pillow helps prevent dislocation of the hip prosthesis by maintaining proper alignment.
Extract:
Question 3 of 5
A nurse in the emergency department is caring for a client following an automobile crash in which the client was unrestrained and thrown from the vehicle. When assessing the client, the nurse observes clear fluid draining from the client's nose. Which of the following interventions should the nurse take?
Correct Answer: C
Rationale: Suctioning the nose gently with a bulb syringe helps clear the nasal passage without causing further trauma.
Question 4 of 5
A nurse is assessing a client who has a puncture wound on his foot. Which of the following findings is a manifestation of acute osteomyelitis?
Correct Answer: C
Rationale: Localized erythema (redness) around the site of the puncture wound is a classic sign of inflammation and infection seen in acute osteomyelitis.
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 (blood in the urine) can occur due to damage to the urinary structures in pelvic fractures, indicating potential injury to the bladder or urethra.