ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is preparing a community presentation about repetitive motion injuries. Which of the following occupations should the nurse identify as increasing a client's risk for carpal tunnel syndrome?
Correct Answer: A
Rationale: Nursing assistants are at an increased risk for carpal tunnel syndrome due to the repetitive nature of tasks like lifting, transferring, and assisting patients, which can lead to strain on the wrist and pressure on the median nerve.
Question 2 of 5
For each potential precaution, click to specify if the precaution is indicated or contraindicated for a client who has had a total hip arthroplasty.
| Options | Indicated | Contraindicated |
|---|---|---|
| Request an antiemetic medication | ||
| Encourage the client to cough and deep breathe every 2 hr | ||
| Ensure an abductor pillow is in place while the client is in bed | ||
| Anticipate the administration of antibiotics | ||
| Obtain a culture of the drainage from the surgical site |
Correct Answer: B,C,D,E
Rationale: Encouraging coughing and deep breathing, using an abductor pillow, administering antibiotics, and obtaining a culture are indicated to prevent respiratory complications, hip dislocation, and infections. Antiemetics are contraindicated unless nausea is present.
Question 3 of 5
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
Correct Answer: C
Rationale: Aspirin acts as an antiplatelet aggregate, which is its key action in preventing the formation of blood clots. This is crucial for patients with a history of MI, as it helps reduce the risk of further clot-related events, such as a recurrent MI or stroke.
Question 4 of 5
A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply)
Correct Answer: A,B,D,E
Rationale: Moon face, purple striations, hypertension, and buffalo hump are classic manifestations of Cushing's syndrome due to fat redistribution, skin thinning, fluid retention, and vasoconstriction. Tremors are not typically associated with this condition.
Question 5 of 5
A nurse is assessing the elastic bandage on the stump of a client who had a right below-the-knee amputation. Which of the following findings should the nurse identify as a complication?
Correct Answer: B
Rationale: Pitting edema around the stump dressing is a complication. This could indicate poor circulation, infection, or fluid retention, which requires prompt assessment and intervention to prevent further complications.