ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has a Plaster of Paris walking cast on his left lower leg. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Numbness or pain in the toes may indicate impaired circulation or nerve compression, requiring immediate attention. A musty odor suggests infection, ice is not typically recommended, and the cast must be kept dry.
Question 2 of 5
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?
Correct Answer: B
Rationale: Administering oxygen therapy is the priority to address hypoxemia caused by pulmonary embolism, improving tissue oxygenation while other interventions are initiated.
Extract:
Medical History
Nurses Notes
Diagnostic Results
Client is admitted to the rehabilitation unit following a hip fracture 7 days ago. Client has limited mobility and requires full assistance to turn and transfer out of bed.
Question 3 of 5
The client is at risk for developing [Pulmonary embolism] and [Deep vein thrombosis].
Diarrhea |
Hypocalcemia |
Pulmonary embolism |
Deep vein thrombosis |
Diarrhea |
Hypocalcemia |
Hypertension |
Correct Answer: C,D
Rationale: Limited mobility and recent hip fracture increase the risk of deep vein thrombosis, which can lead to pulmonary embolism.
Extract:
Question 4 of 5
The nurse is caring for a client diagnosed with end-stage chronic obstructive pulmonary disease (COPD). Which of the following data warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: A respiratory rate of 28 breaths per minute indicates tachypnea and potential respiratory distress, requiring immediate assessment. Other findings are common or acceptable in end-stage COPD.
Question 5 of 5
A nurse is providing discharge teaching to a client who has a Plaster of Paris walking cast on his left lower leg. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Numbness or pain in the toes may indicate impaired circulation or nerve compression, requiring immediate attention. A musty odor suggests infection, ice is not typically recommended, and the cast must be kept dry.