ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
The patient has been admitted to the med-surg unit with the diagnosis of sprained ankle. Which of the following interventions are important to implement for this patient? (SELECT ALL THAT APPLY)
Correct Answer: B,D,E
Rationale: Danging the leg is not advisable as it may increase swelling. Elevation is more beneficial for reducing swelling. An ACE bandage helps stabilize the ankle and reduce swelling. The client should stay off the ankle for several days, but it's important to resume gentle movement and weight-bearing once swelling and pain allow to promote healing and prevent stiffness. Compression also reduces swelling and provides support to the injured area. Applying a cold pack reduces inflammation and pain during the acute phase of a sprain.
Question 2 of 5
The patient has been admitted to the med-surg unit with the diagnosis of sprained ankle. Which of the following interventions are important to implement for this patient? (SELECT ALL THAT APPLY)
Correct Answer: B,D,E
Rationale: Danging the leg is not advisable as it may increase swelling. Elevation is more beneficial for reducing swelling. An ACE bandage helps stabilize the ankle and reduce swelling. The client should stay off the ankle for several days, but it's important to resume gentle movement and weight-bearing once swelling and pain allow to promote healing and prevent stiffness. Compression also reduces swelling and provides support to the injured area. Applying a cold pack reduces inflammation and pain during the acute phase of a sprain.
Question 3 of 5
A nurse is caring for a client with a herniated disc who has undergone a lumbar laminectomy and diskectomy at L4-5. When assisting the client to move in bed, the nurse should include what specific technique?
Correct Answer: D
Rationale: While bending the knees helps with body mechanics, twisting the spine should still be avoided. Moving the hips and legs first could lead to twisting the spine if not done correctly, so the spine must be kept aligned during all movements. The client should avoid pulling on side rails or assisting with movement until fully cleared by the physician, as this could put unnecessary strain on the spine. It is essential to maintain spinal alignment and prevent twisting of the spine during repositioning. The client should be turned as one unit to minimize strain on the healing vertebrae.
Question 4 of 5
A nurse is caring for a client postoperative closed reduction of the left ankle with a short cast in place. Which assessments of the client's affected leg should the nurse make? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D,E
Rationale: Capillary refill is a key indicator of circulation to the affected area. It should be assessed to ensure adequate perfusion. Pain assessment is critical for identifying any complications such as compartment syndrome or inadequate pain management. The ability to move the toes helps assess for nerve function and mobility. Posterior tibialis and pedal pulses assess the circulation and can help identify signs of vascular compromise. Skin temperature and color help identify signs of poor circulation, swelling, or potential complications like compartment syndrome.
Question 5 of 5
Which interventions should be included in discharge teaching for a client who has had a total hip replacement? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C
Rationale: Gradually increasing activity helps in recovery and prevents complications like blood clots. Having the client demonstrate the use of assistive devices ensures proper use and safety during ambulation. Using an abductor pillow helps maintain hip alignment and prevents dislocation while turning in bed. Open-toed house shoes are not recommended as they do not provide adequate support or protection. It is important for the client to manage pain appropriately, including taking medication before activities such as walking.