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RN Med Surg Exam
RN ATI Med Surg Exam
Total Questions : 52
Showing 10 questions Sign up for moreA nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. The client's family asks the nurse for information about this type of care. Which of the following explanations should the nurse provide?
Explanation
A. Teaching the primary caregiver is a component of some rehabilitative care programs, but it's not the primary focus.
B. Emphasizing complete recovery aligns with the goals of rehabilitative care, which aims for maximal restoration of function.
C. Rehabilitative care often starts after the acute phase in the hospital, focusing on recovery and transition back to daily life.
D. While some rehabilitative care might happen in long-term care facilities, it's not exclusively centered there and can occur in various settings.
A nurse is caring for a client who has a prescription for balanced skeletal traction with a Thomas splint for the treatment of a fractured femur. Which of the following interventions should the nurse implement to prevent pressure points from developing around the edges of the splint?
Explanation
A. Removing the weights intermittently helps relieve pressure and prevents tissue damage around the edges of the splint.
B. Applying lotion might increase moisture, leading to skin breakdown, and it may not address the pressure issue.
C. Applying a foot plate might not directly alleviate pressure around the edges of the splint.
D. Repositioning helps with overall comfort and preventing pressure ulcers but may not specifically address the pressure points caused by the splint edges.
A nurse is caring for a client who is postoperative following an intermaxillary fixation as a result of multiple facial fractures. Which of the following types of equipment should the nurse plan to have at the client's bedside?
Explanation
A. An IV infusion pump might not be directly related to the needs of a client following intermaxillary fixation.
B. Wire cutters are essential in case of emergency airway obstruction or any other urgent situation necessitating the removal of the fixation wires.
C. An NG tube may not be specifically required for a client post intermaxillary fixation.
D. A urinary catheter tray may not be directly related to the immediate needs of a client following this procedure.
A nurse is teaching an older adult client who has osteoporosis about beginning a program of regular physical activity. Which of the following recommendations should the nurse make?
Explanation
A. Stretching exercises help improve flexibility and can assist in maintaining and enhancing range of motion without risking bone injury in osteoporosis.
B. High-impact aerobics might pose a risk of fractures in individuals with osteoporosis due to the excessive stress on bones.
C. Riding a bicycle might involve some impact and could potentially increase the risk of fractures.
D. Walking briskly is beneficial for cardiovascular health but might not focus on the bone- strengthening aspects needed for osteoporosis management.
A nurse is caring for a client who has a new short-leg cast on his lower leg to treat an ankle fracture. Which of the following findings requires immediate notification of the provider?
Explanation
A. Ecchymosis (bruising) of the distal foot might be expected after a fracture and casting; however, it doesn't typically indicate an immediate concern unless it's severe or worsening.
B. Some degree of dependent edema (swelling due to gravity) might be common after casting but isn't usually an immediate concern unless it's excessive or increasing rapidly.
C. Moderate pain can be managed initially and might not indicate an urgent situation unless it's severe or unmanageable.
D. Inability to flex the toes could indicate compartment syndrome or nerve damage, which requires immediate attention to prevent further complications like tissue damage or loss of function.
A nurse is caring for a client who has fractures of the symphysis pubis and pelvis. The nurse should monitor the client for which of the following findings of a common complication of pelvic fractures?
Explanation
A. Hematuria (blood in the urine) can occur due to damage to the urinary structures in pelvic fractures, indicating potential injury to the bladder or urethra.
B. Impaired taste, diarrhea, and increased thirst are not typically associated with complications of pelvic fractures and would not be primary concerns in this scenario.
C. Diarrhea, while it can occur due to stress or other factors, isn't typically associated with pelvic fractures.
D. Increased thirst is not a usual complication of pelvic fractures; it's more likely related to conditions like diabetes or dehydration.
A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?
Explanation
A. Inability to move toes might occur if the cast is too tight, but it's not typically the first sign observed.
B. Pallor (pale color) of the toes is an early sign of compromised blood circulation due to constriction from a tight cast.
C. Changes in temperature of the toes might occur later as circulation becomes more compromised.
D. Edema of the toes may occur eventually due to impaired circulation but might not be the first observable sign of a tight cast.
A nurse is assessing a client who has carpal tunnel syndrome. The nurse should expect which of the following findings?
Explanation
A. Cool extremities are not typically associated with carpal tunnel syndrome; it's more related to vascular issues or poor circulation.
B. Decreased radial pulse is not typically a finding in carpal tunnel syndrome; it's more related to arterial or vascular problems.
C. Positive Chvostek's sign indicates neuromuscular irritability due to hypocalcemia, not related to carpal tunnel syndrome.
D. Positive Phalen's sign, where numbness or tingling occurs when the wrist is flexed for 60 seconds, is characteristic of carpal tunnel syndrome due to median nerve compression in the wrist.
A nurse is caring for a client who has an acute ankle sprain. Which of the following actions should the nurse take? (Select all that apply.)
Explanation
A. Placing a compression bandage helps reduce swelling and provides support to the injured ankle.
B. Heat should generally be avoided in the acute phase of an injury as it can increase swelling.
C. Rest is crucial in the initial phase of an ankle sprain to allow healing and prevent further injury.
D. Elevating the ankle above heart level helps reduce swelling by promoting venous return.
E. Performing passive range-of-motion exercises in the acute phase of a sprain might further damage the injured tissues.
A nurse is caring for a client who has a cast in place for a fractured tibia. Which of the following nursing actions is the priority immediately after the provider has applied the cast?
Explanation
A. Performing range of motion might be necessary but isn't the priority immediately after the cast is applied.
B. Checking capillary refill distal to the cast is crucial to ensure adequate circulation and detect any potential circulation compromise.
C. Teaching about cast care is important but not the immediate priority once the cast is applied.
D. Managing pain is important, but ensuring adequate circulation and preventing complications related to circulation is the priority immediately after cast application
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