ATI RN
ATI Custom Medical Surgical Nurse Exam 2 Questions
Extract:
Question 1 of 5
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? (Select all that apply)
Correct Answer: A,B,C
Rationale: Absence of pulse, altered sensation, and cool skin indicate compartment syndrome due to increased pressure impairing blood flow and nerve function. Pain relief by narcotics and normal capillary refill are not typical signs.
Question 2 of 5
A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation. Which of the following is an appropriate nursing intervention for the client at this time?
Correct Answer: D
Rationale: Lying prone prevents hip flexion contractures, a common complication post-amputation. Elevating the bed or stump and excessive sitting are not recommended at this stage.
Question 3 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? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Edema, tophi, and erythema are expected in gout due to urate crystal accumulation causing inflammation. Tight skin and symmetrical joint pain are not typical, as gout usually affects one joint.
Question 4 of 5
A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care, the nurse notices a thin stream of clear drainage coming from out of the client's right nostril. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Testing for glucose identifies a cerebrospinal fluid leak, a critical finding requiring immediate action. Other steps follow but are not the first priority.
Question 5 of 5
A nurse is assisting with caring for a client who has a new concussion following a motor-vehicle crash. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure?
Correct Answer: D
Rationale: Lethargy indicates increased intracranial pressure, a serious complication of concussion. Nuchal rigidity, Battle’s sign, and polyuria are not typical signs of increased ICP.