ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
Unlicensed assistive personnel (UAP) reports a client diagnosed with a fractured femur has 'fatty globules' floating in the urinal. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Assessing the client for dyspnea and altered mental status is the first priority because these are early indicators of fat embolism syndrome (FES), a serious complication of long bone fractures. Immediate assessment allows for early recognition and intervention to prevent further complications.
Question 2 of 5
A client receiving low molecular weight heparin subcutaneously to prevent DVT following hip replacement surgery reports to the nurse that she observed small purple hemorrhagic areas on the right and left sides of the abdomen. Which action should the nurse implement?
Correct Answer: B
Rationale: Small hemorrhagic areas (ecchymosis) at injection sites are a common side effect of low molecular weight heparin and do not require immediate escalation.
Question 3 of 5
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?
Correct Answer: B
Rationale: Administering oxygen therapy is the priority to address hypoxemia caused by pulmonary embolism, improving tissue oxygenation while other interventions are initiated.
Question 4 of 5
A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck's extension traction. The nurse should include which of the following information in the teaching?
Correct Answer: C
Rationale: Buck's traction relieves muscle spasms and maintains alignment, reducing pain and preventing further injury in hip fractures.
Question 5 of 5
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and a prescription for oxygen therapy at 4L/min via nasal cannula. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Attaching a humidifier bottle to the base of the flow meter is the correct action for oxygen therapy at 4L/min. Humidification helps prevent dryness and irritation of the mucous membranes caused by prolonged oxygen therapy. Securing the oxygen tubing to the bed sheet may lead to disconnection or kinking. Removing the nasal cannula during eating can cause hypoxia. Petroleum jelly is flammable and unsafe with oxygen.