ATI RN
ATI Custom Medical Surgical Nurse Exam 2 Questions
Extract:
Question 1 of 5
A nurse is discussing skeletal and skin traction with a newly licensed nurse. Which of the following statements should the nurse identify as an indication that the newly licensed nurse understands these therapies?
Correct Answer: B
Rationale: Skin traction, being less invasive, allows more mobility than skeletal traction, which involves pins in the bone. Other statements are incorrect or not necessarily true.
Question 2 of 5
A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent autonomic dysreflexia?
Correct Answer: C
Rationale: Preventing bladder distention reduces the risk of autonomic dysreflexia, which can be triggered by a full bladder or bowels. Monitoring and analgesia are not preventive measures.
Question 3 of 5
While collecting data from a client who has a cast on his right leg, a nurse locates an area on the cast that feels warm to the touch. Which of the following findings should the nurse identify as a complication to the client's condition?
Correct Answer: B
Rationale: A warm area on the cast suggests an underlying infection due to increased blood flow as the body fights the infection. Uneven cast drying, pressure, or poor circulation do not typically cause warmth.
Question 4 of 5
A nurse is caring for a client who has been placed in halo traction to immobilize his cervical spine. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Elevating the head of the bed improves comfort and reduces complications like aspiration in halo traction. Supine positioning, pelvic girdles, or foot elevation are not required.
Question 5 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.