ATI RN
RN ATI Med Surg Exam 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: D
Rationale: Perform neurovascular checks of the extremities: Crucial to assess blood flow, sensation, and movement in the limb to identify any postoperative complications promptly.
Question 2 of 5
A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Apply ice to the affected area: Cold therapy helps reduce swelling and pain, promoting healing.
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 3 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 4 of 5
A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. The client's family asks the nurse for information about this type of care. Which of the following explanations should the nurse provide?
Correct Answer: B
Rationale: Emphasizing complete recovery aligns with the goals of rehabilitative care, which aims for maximal restoration of function.
Question 5 of 5
A nurse is caring for a client who has a prescription for balanced skeletal traction with a Thomas splint for the treatment of a fractured femur. Which of the following interventions should the nurse implement to prevent pressure points from developing around the edges of the splint?
Correct Answer: A
Rationale: Removing the weights intermittently helps relieve pressure and prevents tissue damage around the edges of the splint.