Questions 47

ATI RN

ATI RN Test Bank

ATI Custom MS Nurse Questions

Extract:

Client with a short arm cast for a fractured wrist


Question 1 of 5

A nurse is collecting data from a client who has a short arm cast for a fractured wrist. Which of the following findings indicates impaired venous return in the affected arm?

Correct Answer: D

Rationale: Pain that is unrelieved by opioid analgesics can be a sign of compartment syndrome, which is a serious complication that can result from impaired venous return and increased pressure within the muscle compartments.

Extract:

Client with a spinal cord injury suspected of autonomic dysreflexia


Question 2 of 5

A nurse is caring for a client who has a spinal cord injury. The nurse suspects that the client has autonomic dysreflexia. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: If a nurse is caring for a client who has a spinal cord injury and suspects that the client has autonomic dysreflexia, the first action the nurse should take is to raise the head of the bed. This can help to lower the client's blood pressure and reduce the risk of complications such as stroke.

Extract:

Older adult client with an intracapsular fracture of the right hip following a fall, in Buck's traction


Question 3 of 5

An older adult client on an orthopedic unit has an intracapsular fracture of the right hip following a fall. The client is in Buck's traction and will have hip prosthesis surgery in the morning. The nurse should reinforce with the client that this type of traction promotes which of the following outcomes?

Correct Answer: D

Rationale: The nurse should reinforce to the client that Buck's traction promotes relief from muscle spasms. Buck's traction is a type of skin traction that is widely used for fractures of the femur and hip. It uses splints, bandages, and adhesive tapes to position a limb near the fracture and then applies pressure using weights and pulleys.

Extract:

Client postoperative following right total hip arthroplasty


Question 4 of 5

A nurse is caring for a client who is postoperative following a right total hip arthroplasty. In which of the following positions should the nurse place the client's right leg?

Correct Answer: B

Rationale: The nurse should place the client's right leg in abduction following a right total hip arthroplasty. Abduction means moving the leg away from the midline of the body. This position helps to prevent hip dislocation by keeping the hip joint in proper alignment.

Extract:

Client with an exacerbation of gout


Question 5 of 5

A nurse is collecting data from a client who has an exacerbation of gout. Which of the following findings should the nurse expect?

Correct Answer: B,C,E

Rationale: A nurse collecting data from a client who has an exacerbation of gout should expect to find edema, tophi, and erythema. Gout is a type of arthritis that occurs when urate crystals accumulate in the joints, causing inflammation and intense pain.

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