ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions?
Correct Answer: D
Rationale: Massaging the legs is unsafe because it can dislodge a clot if one is present, leading to a potential embolism. It is important to avoid deep pressure on the legs in clients at risk for VTE.
Question 2 of 5
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A severe headache is a hallmark symptom of meningitis. The inflammation of the meninges (the protective membranes covering the brain and spinal cord) typically causes intense headache, along with other symptoms such as fever, nausea, and photophobia.
Question 3 of 5
A patient with a long leg cast reports pain in the toes. The nurse discovers that the toes are pale and cool to the touch with intact pulses and minimal neuropathy. The findings indicate that the patient may be experiencing which complications?
Correct Answer: C
Rationale: Compartment syndrome occurs when there is increased pressure within a muscle compartment, leading to reduced blood flow. The symptoms of pale, cool toes with pain and intact pulses are indicative of impaired circulation due to increased pressure, which is a hallmark of compartment syndrome. This is a medical emergency that requires prompt intervention.
Question 4 of 5
A nurse is assessing a client who has right-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Peripheral edema is a classic sign of right-sided heart failure, as blood backs up in the systemic circulation, causing fluid retention, especially in the lower extremities.
Question 5 of 5
A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?
Correct Answer: B
Rationale: Inability to recognize family members, or prosopagnosia, is a common result of right hemisphere strokes. The right hemisphere is responsible for spatial awareness and recognition of faces, so damage to this area can impair the ability to recognize familiar people.