ATI RN
ATI Med Surg 102 Questions
Extract:
Question 1 of 5
The nurse is caring for an 84-year-old female client who was brought to the emergency room by her daughter, who related that her mother has had very recent mental status changes and periods of incontinence. What condition should the nurse first suspect?
Correct Answer: A
Rationale: UTIs commonly cause confusion and incontinence in elderly patients, making it the primary suspicion.
Question 2 of 5
A client is reporting pain in her casted leg. The nurse has administered analgesics and elevated the limb. Thirty minutes after administering the analgesics. the client states the pain is unrelieved. The nurse is unable to palpate the client's dorsalis pedis or posterior tibial pulse and the client's foot is pale. The nurse suspects compartment syndrome. What is the nurse's most appropriate action?
Correct Answer: A
Rationale: Suspected compartment syndrome requires immediate notification of the provider for urgent intervention, as it is a medical emergency.
Question 3 of 5
A nurse needs to infuse three 1L bags over 12 hours. At what rate should the nurse program the pump to run in millilitres per hour?(Round to the nearest whole number.)
Correct Answer: 250 mL/h
Rationale:
Total volume = 3 × 1000 mL = 3000 mL; 3000 mL ÷ 12 hours = 250 mL/h, the infusion rate.
Question 4 of 5
A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?
Correct Answer: A
Rationale: Periodic removal of heel boots allows skin inspection, preventing moisture buildup and skin breakdown.
Question 5 of 5
A nurse is talking with a young adult client who has a family history of osteoporosis, Which health promotion activity should the nurse recommend as a possible preventive measure?
Correct Answer: D
Rationale: Weight-bearing exercises increase bone density, reducing osteoporosis risk in those with a family history.