ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent client whose right leg is in Buck's traction. Which of the following interventions should the nurse implement to promote the client's mobility?
Correct Answer: D
Rationale: Isometric exercises of both legs maintain muscle strength without disrupting traction, promoting mobility safely.
Question 2 of 5
A patient who is experiencing an acute asthma attack is admitted to the emergency department. Which assessment should the nurse complete first?
Correct Answer: C
Rationale: Assessing lung sounds first provides critical information about airway obstruction severity, guiding immediate interventions for an acute asthma attack.
Question 3 of 5
A nurse is caring for a client who is receiving heparin 3,800 units subcutaneous daily. Available is heparin 5,000 units/mL. How many mL should the nurse administer?
Correct Answer: B
Rationale: Using the proportion: 3,800 units / 5,000 units/mL = 0.76 mL, rounded to 0.8 mL to the nearest tenth.
Question 4 of 5
A client receiving low molecular weight heparin subcutaneously to prevent DVT following hip replacement surgery reports to the nurse that she observed small purple hemorrhagic areas on the right and left sides of the abdomen. Which action should the nurse implement?
Correct Answer: B
Rationale: Small hemorrhagic areas (ecchymosis) at injection sites are a common side effect of low molecular weight heparin and do not require immediate escalation.
Question 5 of 5
A nurse is caring for a child who has a fracture of the forearm. The parent tells the nurse that the provider said it was a greenstick fracture and asks what that means. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: A greenstick fracture, common in children, involves the bone breaking on one side and bending on the other due to bone flexibility.