ATI RN
ATI Custom MS Nurse Questions
Extract:
Client who had an open reduction internal fixation surgery
Question 1 of 3
A nurse is completing a neurovascular check for a client who had an open reduction internal fixation surgery. Which of the following findings should the nurse identify as possible manifestations of compartment syndrome?
Correct Answer: A,B,C
Rationale: The nurse should identify absence of pulse, altered sensation of the toes, and cool skin as possible manifestations of compartment syndrome. Compartment syndrome is a serious condition that can occur following surgery or injury, characterized by increased pressure within a muscle compartment that can lead to decreased blood flow and nerve damage.
Extract:
Client with an exacerbation of gout
Question 2 of 3
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.
Extract:
Older adult at risk for falls
Question 3 of 3
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?
Correct Answer: C,D,E
Rationale: Keeping a night light on in the client's room and bathroom can help reduce the risk of falls by improving visibility. Placing the bedside table within the client's reach can help reduce the risk of falls by making it easier for the client to access necessary items. Locking the wheels on beds and wheelchairs during transfers can help reduce the risk of falls by providing stability.
Extract:
Client with epilepsy experiencing a tonic-clonic seizure
Question 4 of 3
A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy. The client begins to experience a tonic-clonic seizure. Identify the sequence of steps the nurse should follow.
Order the Items
Source Container
Correct Answer: A,B,D,C
Rationale: The correct sequence of steps is: remain with the client and call for help, place the client in the lateral position, check the client for injuries, and reorient and reassure the client. This ensures safety, airway protection, and post-seizure care.