ATI RN
ATI Med Surg 102 Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?
Correct Answer: A
Rationale: Periodic removal of heel boots allows skin inspection, preventing moisture buildup and skin breakdown.
Question 2 of 5
The nurse is caring for a client who is diagnosed with an arterial insufficiency ulcer. The nurse should plan interventions to address which priority issue?
Correct Answer: D
Rationale: Ineffective tissue perfusion is the primary issue in arterial insufficiency ulcers, driving interventions to restore circulation.
Question 3 of 5
A nurse is completing a risk assessment on a new admission. Which standardized scale will the nurse use to calculate the client's risk for pressure ulcers?
Correct Answer: B
Rationale: The Braden Scale assesses risk for pressure ulcers by evaluating sensory perception, moisture, activity, mobility, nutrition, and friction/shear, unlike the other scales which focus on falls or stool classification.
Question 4 of 5
A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal deformities should the nurse expect to find in this client?
Correct Answer: D
Rationale: Kyphosis, a forward rounding of the thoracic spine, is common in osteoporosis due to vertebral compression fractures, unlike the other deformities.
Question 5 of 5
An emergency department client is diagnosed with a hip dislocation. The client's family is relieved that the client has not suffered a hip fracture, but the nurse explains that this is still considered to be a medical emergency. What is the rationale for the nurse's statement?
Correct Answer: A
Rationale: Prolonged dislocation complicates reduction due to muscle spasms and tissue changes, making prompt intervention critical.