Questions 47

ATI RN

ATI RN Test Bank

ATI Custom MS Nurse Questions

Extract:

Client who fell at home and reported a brief loss of consciousness


Question 1 of 5

A nurse is collecting data from a client who fell at home and reported a brief loss of consciousness. Which of the following findings should the nurse immediately report to the charge nurse?

Correct Answer: D

Rationale: The nurse should immediately report small drops of clear fluid in the left ear to the charge nurse. This finding could indicate a cerebrospinal fluid (CSF) leak, which can occur as a result of a head injury. A CSF leak can be a serious medical condition that requires immediate attention.

Extract:

Client at risk for stroke


Question 2 of 5

A nurse is planning care for several clients and is considering the clients' risk for stroke. Which of the following conditions places the client at risk for an ischemic embolic stroke?

Correct Answer: C

Rationale: A client who has chronic atrial fibrillation is at risk for an ischemic embolic stroke. An ischemic embolic stroke occurs when a blood clot that forms in one part of the body travels to the brain and blocks blood flow. Atrial fibrillation is a type of irregular heart rhythm that can cause blood to pool, thicken, and clot in the heart or arteries near it.

Extract:

Client with a knee injury


Question 3 of 5

A nurse is reinforcing teaching with a client who has a knee injury. When describing range-of-motion exercises, the nurse should explain that the knee is which of the following types of joints?

Correct Answer: B

Rationale: The knee is a hinge type of joint. A hinge joint is a type of synovial joint that mainly allows for flexion and extension (and a small degree of medial and lateral rotation). The knee joint is formed by articulations between the patella, femur, and tibia.

Extract:

Client with rheumatoid arthritis


Question 4 of 5

A nurse is collecting data from a client who has rheumatoid arthritis. Which of the following is an expected finding for this client?

Correct Answer: B

Rationale: Boutonniere deformity is an expected finding for a client who has rheumatoid arthritis. It is a type of hand deformity that can occur in people with rheumatoid arthritis. It is characterized by a bent middle finger joint and a hyperextended fingertip.

Extract:

Client with an ankle sprain


Question 5 of 5

A nurse is reinforcing teaching with a client who has an ankle sprain. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: The nurse should instruct the client to elevate the affected ankle to the level of the heart. Elevation helps to reduce swelling and pain by promoting venous return and decreasing blood flow to the injured area.

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