ATI RN
ATI Custom Medical Surgical Nurse Exam 2 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has an ankle sprain. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Elevating the ankle to heart level reduces swelling per the RICE method. Tight compression, weight-bearing, and heat in the first 24 hours can worsen the injury.
Question 2 of 5
A nurse is collecting data from a client who has rheumatoid arthritis. Which of the following is an expected finding for this client?
Correct Answer: B
Rationale: Boutonniere deformity is a characteristic hand deformity in rheumatoid arthritis, involving a bent middle finger joint and hyperextended fingertip.
Tophi are associated with gout, osteoma with benign bone tumors, and Heberden's nodules with osteoarthritis.
Question 3 of 5
A nurse in the emergency department is assisting with the care of a client who has myasthenia gravis and is in crisis. The nurse should identify which of the following factors can cause a myasthenic crisis.
Correct Answer: B
Rationale: A respiratory infection can exacerbate myasthenia gravis symptoms, triggering a myasthenic crisis with severe breathing and swallowing difficulties. Overmedication, insufficient sleep, or exercise do not typically cause a crisis.
Question 4 of 5
A nurse is reviewing discharge instructions with the family of a client who sustained a minor head injury earlier in the day. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Avoiding strenuous activities for a week prevents further injury and supports recovery. Heat can worsen swelling, frequent questioning may be unnecessary, and encouraging prolonged sleep could mask worsening symptoms.
Question 5 of 5
A nurse is assisting with the plan of care for an older adult client who is 4 hr postoperative following an open reduction and internal fixation of a fractured femur. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Checking capillary refill every 4 hours monitors blood flow to the extremity, ensuring adequate circulation post-surgery. Other options are not standard or necessary.