ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following an open reduction and internal fixation of a fractured femur. Which of the following actions is the most important for the nurse to complete in the postoperative period?
Correct Answer: B
Rationale: Performing neurovascular checks of the extremities is the most important action to detect complications such as compartment syndrome or impaired circulation.
Question 2 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 3 of 5
A nurse in the emergency department is caring for a client who was injured in a motor-vehicle crash. The client reports dyspnea and severe pain. The nurse notes that the client's chest moves inward during inspiration and bulges out during expiration. The nurse should identify this finding as which of the following?
Correct Answer: B
Rationale: Flail chest is characterized by paradoxical chest movement where a segment of the chest wall moves inward during inspiration and outward during expiration.
Question 4 of 5
A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?
Correct Answer: B
Rationale: Defibrillation is used for pulseless ventricular tachycardia or ventricular fibrillation to restore a normal heart rhythm.
Question 5 of 5
A nurse at a rehabilitation center is planning care for a client who had a left hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following goals should the nurse include in the client's rehabilitation program?
Correct Answer: B
Rationale: Establishing the ability to communicate effectively is crucial for a left hemispheric CVA, which often affects language and speech functions.