ATI RN
ATI N 1201222 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is doing her assessment on a client who suffered a crush injury with multiple fractures to his lower leg. The nurse notices the client has increasing edema to the affected leg since the last assessment. Also, the client also reports the last pain medication did not help them at all with their pain and they feel the pain is worsening. The increasing edema and unrelieved increasing pain are indications of which of the following complications from a crush injury?
Correct Answer: C
Rationale: Acute compartment syndrome causes increasing pain and edema due to pressure in muscle compartments, requiring urgent intervention. Fat embolism affects lungs/brain, malignant hyperthermia involves anesthesia, and myocardial embolus is cardiac.
Question 2 of 5
A health care provider has written an order for digoxin for the patient, but the nurse cannot read whether the order is for 0.25 mg or 0.125 mg. What action would be the best to prevent a medication error?
Correct Answer: D
Rationale: Clarifying with the provider ensures correct dosage, preventing errors. Consulting others or handbooks risks assumptions.
Question 3 of 5
The nurse is caring for a client in the intensive care unit following a closed head injury. The nurse can anticipate which medication would be administered to treat an increase in intracranial pressure?
Correct Answer: D
Rationale: Mannitol, an osmotic diuretic, reduces intracranial pressure by drawing fluid from brain tissue. Pepcid treats acid, aspirin risks bleeding, and desmopressin manages diabetes insipidus.
Question 4 of 5
The nurse closely monitors an older adult for signs of medication toxicity. Which",renal dysfunction"
Correct Answer: A
Rationale: Renal dysfunction in older adults impairs medication clearance, risking toxicity. Pancreatic, gastric, and blood volume changes are less directly linked.
Question 5 of 5
A nurse is caring for a client who is postoperative following an open reduction and internal fixation (ORIF) of a fractured femur. Which of the following interventions is the most important for the nurse to complete in the postoperative period?
Correct Answer: C
Rationale: Neurovascular checks detect complications like compartment syndrome or impaired blood flow, critical post-ORIF. Exercises prevent thrombosis, pain management aids comfort, and crutch instruction supports mobility, but neurovascular status is priority.