ATI RN
ATI Custom Medical Surgical Nurse Exam 2 Questions
Extract:
Question 1 of 5
An older adult client in an orthopedic unit has an intracapsular fracture of the right hip following a fall. The client is in Buck's traction and will have hip prosthesis surgery in the morning. The nurse should reinforce with the client that this type of traction promotes which of the following outcomes?
Correct Answer: D
Rationale: Buck’s traction relieves muscle spasms by applying gentle pressure to align the fracture. It does not reduce the fracture or involve pins.
Question 2 of 5
A nurse is collecting data from a client who has a traumatic head injury. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: A
Rationale: Sudden sleepiness may indicate increased intracranial pressure, a life-threatening complication requiring immediate reporting. Headache, diplopia, and ataxia are concerning but less urgent.
Question 3 of 5
A nurse is caring for a client who has a spinal cord injury at T-4. The nurse should recognize that the client is at risk for autonomic dysreflexia. Which of the following interventions should the nurse take to prevent autonomic dysreflexia?
Correct Answer: C
Rationale: Preventing bladder distention reduces the risk of autonomic dysreflexia, which can be triggered by a full bladder or bowels. Monitoring and analgesia are not preventive measures.
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: Russell's traction involves a sling under the knee with weights to immobilize and align a fractured femur. Other options describe different traction types or incorrect applications.
Question 5 of 5
A client who has a lower-leg cast reports skin irritation around the upper edge of the cast. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Petaling the cast edges with adhesive strips smooths them, preventing skin irritation. Scratching, lotion, or bivalving are inappropriate for this issue.