ATI RN
ATI Custom Medical Surgical Nurse Exam 2 Questions
Extract:
Question 1 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 a characteristic hand deformity in rheumatoid arthritis, involving a bent middle finger joint and hyperextended fingertip.
Tophi are associated with gout, osteoma with benign bone tumors, and Heberden's nodules with osteoarthritis.
Question 2 of 5
A nurse is assisting with the development of a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse contribute to the plan? (Select all that apply)
Correct Answer: C,D,E
Rationale: Night lights improve visibility, a reachable bedside table reduces unnecessary movement, and locked wheels ensure stability, all reducing fall risk. Sedatives and bed height do not directly prevent falls.
Question 3 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: Elevating the ankle to heart level reduces swelling per the RICE method. Tight compression, weight-bearing, and heat in the first 24 hours can worsen the injury.
Question 4 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: Raising the head of the bed lowers blood pressure, reducing the risk of complications like stroke in autonomic dysreflexia. Checking for causes follows this immediate action.
Question 5 of 5
An older adult client in 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: Buck’s traction relieves muscle spasms by applying gentle pressure to align the fracture. It does not reduce the fracture or involve pins.