ATI RN
ATI Custom Medical Surgical Nurse Exam 2 Questions
Extract:
Question 1 of 5
A nurse is shopping and finds a woman who has collapsed with right-sided weakness and slurred speech. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Symptoms like right-sided weakness and slurred speech suggest a stroke, requiring immediate emergency medical services to ensure rapid treatment and minimize brain damage.
Question 2 of 5
A nurse is collecting data from a client following the application of a leg cast for the treatment of a fracture. Which of the following findings should the nurse expect to find first if the cast is too tight?
Correct Answer: D
Rationale: Edema of the toes is the first sign of a tight cast due to impaired blood flow causing swelling. Coolness, immobility, and pallor may follow if untreated.
Question 3 of 5
A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation. Which of the following is an appropriate nursing intervention for the client at this time?
Correct Answer: D
Rationale: Lying prone prevents hip flexion contractures, a common complication post-amputation. Elevating the bed or stump and excessive sitting are not recommended at this stage.
Question 4 of 5
A nurse is reinforcing teaching with a client who has a knee injury. When describing range-of-motion exercises, the nurse should explain that the knee is which of the following types of joints?
Correct Answer: B
Rationale: The knee is a hinge joint, allowing primarily flexion and extension. Pivot, ball and socket, and gliding joints have different movement patterns.
Question 5 of 5
A nurse is collecting data from a client who has increased intracranial pressure and is informed by the charge nurse that the client demonstrates decorticate posturing. Which of the following findings should the nurse expect to observe?
Correct Answer: C
Rationale: Decorticate posturing involves pronation of the hands with arms bent toward the chest, indicating brain damage. Other options describe decerebrate posturing or are incorrect.