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ATI Med Surg 102 Questions

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Question 1 of 5

A nurse is completing a risk assessment on a new admission. Which standardized scale will the nurse use to calculate the client's risk for pressure ulcers?

Correct Answer: B

Rationale: The Braden Scale assesses risk for pressure ulcers by evaluating sensory perception, moisture, activity, mobility, nutrition, and friction/shear, unlike the other scales which focus on falls or stool classification.

Question 2 of 5

A nurse needs to infuse three 1L bags over 12 hours. At what rate should the nurse program the pump to run in millilitres per hour?(Round to the nearest whole number.)

Correct Answer: 250 mL/h

Rationale:
Total volume = 3 × 1000 mL = 3000 mL; 3000 mL ÷ 12 hours = 250 mL/h, the infusion rate.

Question 3 of 5

A gerontologic nurse is teaching a group of nursing students about integumentary changes that occur in older adults, such as thinning skin. How should these students best integrate these changes into care planning?

Correct Answer: C

Rationale: Thinning skin increases susceptibility to shearing injuries, requiring precautions like lift sheets to prevent skin tears.

Question 4 of 5

A nurse is teaching a group of clients about osteoarthritis. Which of the following recommendations should the nurse include in the teaching?

Correct Answer: B

Rationale: Maintaining a healthy weight reduces stress on joints, alleviating osteoarthritis symptoms.

Question 5 of 5

An emergency department client is diagnosed with a hip dislocation. The client's family is relieved that the client has not suffered a hip fracture, but the nurse explains that this is still considered to be a medical emergency. What is the rationale for the nurse's statement?

Correct Answer: A

Rationale: Prolonged dislocation complicates reduction due to muscle spasms and tissue changes, making prompt intervention critical.

Similar Questions

The nurse understands that certain patients are more susceptible to pressure ulcer development. Which clients should the nurse identify as being at an increased risk for this health problem? Select all that apply.
A client is brought to the emergency department by ambulance after stepping in a hole and falling. During the assessment, the nurse notes that the right leg is shorter than the left leg the right hip is noticeably deformed and acute pain is noted. Imaging does not reveal a fracture. What is the most likely explanation for this client's signs and symptoms?
The triage nurse in the emergency department is assessing a client who reports pain and swelling in the right lower leg. The client's pain became much worse last night and appeared along with fever, chills, and sweating. The client states, 'I hit my leg on the car door 4 or 5 days ago, and the sore is getting bigger' The client has a history of diabetes mellitus type 2. Which condition should the nurse anticipate for this client?
A client is admitted to the orthopedic unit with a fractured femur after a motorcycle accident. The client has been placed in traction until his femur can be rodded in surgery. For what early complications should the nurse monitor this client? Select all that apply.
A nurse is teaching an older adult client who has osteoporosis about beginning a program of regular physical activity. Which of the following recommendations should the nurse make?

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