ATI RN
ATI Custom MS Nurse Questions
Extract:
Client with epilepsy experiencing a tonic-clonic seizure
Question 1 of 5
A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy. The client begins to experience a tonic-clonic seizure. Identify the sequence of steps the nurse should follow.
Correct Answer: A,B,D,C
Rationale: The correct sequence of steps is: remain with the client and call for help, place the client in the lateral position, check the client for injuries, and reorient and reassure the client. This ensures safety, airway protection, and post-seizure care.
Extract:
Client in skeletal traction
Question 2 of 5
A client returns to the surgical unit from the PACU in skeletal traction. The nurses should take action to correct. Which of the following problems with the traction setup?
Correct Answer: A
Rationale: If a client returns to the surgical unit from the PACU in skeletal traction and the weights rest against the foot of the bed, the nurse should take action to correct this problem with the traction setup. The weights should be hanging freely and not touching any part of the bed or floor.
Extract:
Client postoperative following a total hip arthroplasty
Question 3 of 5
A nurse is contributing to the plan of care for a client who is postoperative following a total hip arthroplasty. Which of the following information should the nurse include?
Correct Answer: C
Rationale: When contributing to the plan of care for a client who is postoperative following a total hip arthroplasty, the nurse should include information on preventing hip flexion of the affected extremity. This can help prevent dislocation of the new hip joint and promote healing.
Extract:
Client with a fractured femur
Question 4 of 5
A nurse is reinforcing teaching about Russell's traction with a newly licensed nurse. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The nurse should tell the newly licensed nurse that Russell's traction uses a sling under the knee to treat a fracture of the femur. Russell's traction is a type of skin traction that is used to immobilize and align a fractured femur.
Extract:
Client with a fracture
Question 5 of 5
A nurse is contributing to the plan of care for a client to achieve the outcome of functional healing of a fracture. Which of the following nursing interventions is the highest priority to assist in meeting this outcome?
Correct Answer: C
Rationale: When contributing to the plan of care for a client to achieve the outcome of functional healing of a fracture, the highest priority nursing intervention to assist in meeting this outcome is to maintain immobilization and alignment for the client. This helps to ensure that the bones are in the correct position to heal properly.