ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse notes increasing edema in the calf of a client who has multiple fractures of the leg. The nurse should recognize that increasing edema is a manifestation of which of the following complications?
Correct Answer: C
Rationale: Increasing edema in the calf indicates acute compartment syndrome, a medical emergency caused by pressure buildup in a muscle compartment.
Question 2 of 5
A nurse is assessing a client who is 1 day postoperative following a lobectomy and has a chest tube drainage system in place. Which of the following findings by the nurse indicates a need for immediate notification?
Correct Answer: D
Rationale: Subcutaneous emphysema may indicate an air leak or improper chest tube placement, requiring immediate provider notification to prevent complications.
Question 3 of 5
A 70-year-old client in a nursing home is found wandering in the hall and has a new onset confusion. Which action should the registered nurse implement first?
Correct Answer: D
Rationale: Assessing the client's lung fields and temperature is the first priority because new onset confusion in an older adult is often a symptom of an underlying medical issue, such as infection or hypoxia. Early assessment helps identify the cause and guide appropriate interventions.
Question 4 of 5
The nurse is caring for a patient with a long history of chronic obstructive pulmonary disease (COPD) who develops cor pulmonale. The nurse should monitor the patient for which expected finding if heart failure is present?
Correct Answer: C
Rationale: Peripheral edema is a key sign of right-sided heart failure in cor pulmonale, resulting from fluid accumulation due to impaired cardiac pumping.
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 5 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.