ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Medical History
Client fell on ice 24 hr ago landing on left arm. Had pain after impact and states, "I thought I bruised it." Arm began Welling immediately after fall. The client applied ice and elevated the extremity at home. Self- administered ibuprofen for pain. Swelling continued throughout day and night with pain increasing
History: Osteoporosis that is managed with ibuprofen 600 mg PO three times daily
Compression fracture T11 and T12 4 years ago
Medications: Multivitamin PO daily. Alendronate 70 mg PO weekly
Nurses Notes
Client presents to the emergency department accompanied by their partner. Reports severe pain in left arm a hand. Rates pain as a 10 on a 0 to 10 pain scale. Pain increases with movement. Left forearm and hand edematous and skin is taut. Abrasions noted on left forearm and palm of left hand. Left hand and fingers pale and cool to touch with weak radial pulse noted. Right radial pulse strong. Left forearm ecchymotic. Client states, "The fingers on my left hand feel numb and tingly." Capillary refill greater than 5 seconds in left hand, right hand less than 3 seconds.
Vitals
BP: 132/84 mm Hg
Pulse rate: 86/min
Respirations: 18/min
Temperature: 37.4° C (99.3° F)
Oxygen saturation: 98% on room air
Question 1 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Correct Answer: B,D
Rationale: The symptoms indicate acute compartment syndrome. Preparing for a fasciotomy and requesting pain medication are critical actions. Monitoring neurovascular status and WBC count assesses progress and potential infection.
Extract:
Question 2 of 5
A nurse is caring for a client who is postoperative following an open reduction and internal fixation of a fractured femur. Which of the following actions is the most important for the nurse to complete in the postoperative period?
Correct Answer: B
Rationale: Performing neurovascular checks of the extremities is the most important action to detect complications such as compartment syndrome or impaired circulation.
Question 3 of 5
A nurse is preparing to administer ticarcillin/clavulanate 3.1 g by intermittent IV bolus over 30 min. Available is ticarcillin/clavulanate 3.1 g in 50 ml 0.9% sodium chloride (NSS). The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale: First, determine the total volume to be infused: 50 mL. Next, calculate the time in hours: 30 minutes is 0.5 hours. 50/0.5 = 100 mL/hr.
Extract:
Medical History
Client fell on ice 24 hr ago landing on left arm. Had pain after impact and states, "I thought I bruised it." Arm began Welling immediately after fall. The client applied ice and elevated the extremity at home. Self- administered ibuprofen for pain. Swelling continued throughout day and night with pain increasing
History: Osteoporosis that is managed with ibuprofen 600 mg PO three times daily
Compression fracture T11 and T12 4 years ago
Medications: Multivitamin PO daily. Alendronate 70 mg PO weekly
Nurses Notes
Client presents to the emergency department accompanied by their partner. Reports severe pain in left arm a hand. Rates pain as a 10 on a 0 to 10 pain scale. Pain increases with movement. Left forearm and hand edematous and skin is taut. Abrasions noted on left forearm and palm of left hand. Left hand and fingers pale and cool to touch with weak radial pulse noted. Right radial pulse strong. Left forearm ecchymotic. Client states, "The fingers on my left hand feel numb and tingly." Capillary refill greater than 5 seconds in left hand, right hand less than 3 seconds.
Vitals
BP: 132/84 mm Hg
Pulse rate: 86/min
Respirations: 18/min
Temperature: 37.4° C (99.3° F)
Oxygen saturation: 98% on room air
Question 4 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Correct Answer: B,D
Rationale: The symptoms indicate acute compartment syndrome. Preparing for a fasciotomy and requesting pain medication are critical actions. Monitoring neurovascular status and WBC count assesses progress and potential infection.
Extract:
Question 5 of 5
A nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate?
Correct Answer: D
Rationale: Incorporating periods of rest helps manage fatigue, a common symptom in MS, and prevents exacerbation of symptoms.