ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has a fractured tibia and is in a cast. Which of the following findings is a manifestation of compartment syndrome?
Correct Answer: B
Rationale: Slow capillary refill indicates compartment syndrome due to impaired blood flow from increased fascial pressure. Redness and warmth suggest infection. Reduced consciousness suggests other conditions. Pain and bleeding are not specific.
Question 2 of 5
A nurse is assisting with the care of a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Determining calcium level addresses hypocalcemia, a thyroidectomy complication causing muscle spasms. Monitoring pulses, saline, or potassium do not address the issue.
Question 3 of 5
A lumbar puncture is performed on a client with suspected bacterial meningitis, and cerebrospinal fluid (CSF) is obtained for analysis. The nurse determines that the diagnosis is confirmed if which findings are noted?
Correct Answer: D
Rationale: Cloudy CSF confirms bacterial meningitis due to infection and inflammation. High glucose suggests diabetes. Low protein may indicate malnutrition. Decreased CSF pressure suggests dehydration.
Question 4 of 5
A client diagnosed with esophageal varices has a Sengstaken-Blakemore tube. What is the most important safety intervention for this client?
Correct Answer: A
Rationale: Keeping scissors at the bedside allows quick tube removal in case of airway obstruction or bleeding, prioritizing safety. Mouth care prevents infections but is less critical. Deflating the balloon may cause bleeding. Monitoring IV fluids prevents fluid overload but is not the most important.
Question 5 of 5
A nurse is caring for a client who is receiving chemotherapy for treatment of ovarian cancer and experiencing nausea. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Providing an antiemetic 2 hours before chemotherapy prevents nausea effectively. Restricting food risks nutritional deficiencies. Carbonated beverages are less effective. Lying down may worsen nausea.