Questions 87

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ATI RN Test Bank

ATI RN Adult Medical Surgical 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation and asks about the purpose of maintaining an elastic bandage around the residual limb of the extremity. Which of the following is an appropriate response by the nurse?

Correct Answer: D

Rationale: An elastic bandage reduces edema and shapes the residual limb for a prosthesis.

Question 2 of 5

A nurse is providing instructions to a client who has primary syphilis. Which of the following instructions should the nurse include in the discharge plan?

Correct Answer: D

Rationale: Follow-up blood tests monitor treatment efficacy for syphilis.

Question 3 of 5

A nurse is caring for a client who has just returned from surgery with an external fixator to the left tibia. Which of the following assessment findings requires immediate intervention by the nurse?

Correct Answer: D

Rationale: A capillary refill of 6 seconds indicates impaired circulation requiring immediate intervention.

Question 4 of 5

A nurse is assessing a client following extubation from a Ventilator. For which of the following findings should the nurse intervene immediately?

Correct Answer: C

Rationale: Stridor indicates airway obstruction post-extubation, requiring immediate intervention.

Question 5 of 5

A nurse is assessing a client who is postoperative following a transurethral resection of the prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Intermittent irrigation relieves bladder spasms by clearing clots or obstructions.

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