ATI NCLEX Challenge Final QUESTIONS
AND CORRECT DETAILED ANSWERS
|ALREADY GRADED A+
A nurse is developing a plan of care for a client who has a spinal fracture and
complete spinal cord transection at the level of C5. Which of the following
rehabilitation goals should the nurse add to the client's plan of care? -
ANSWER>>Ability to self-feed with the use of adaptive equipment
A nurse is caring for a client who is postoperative following a below the knee
amputation and will soon undergo fitting for a leg prosthesis. Which of the
following is an appropriate nursing intervention for this client at this time? -
ANSWER>>Wrap the residual limb with an elastic bandage in a figure eight
configuration.
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? - ANSWER>>Pallor of the toes.
A nurse is providing discharge teaching to a client who has a Plaster of Paris
walking cast on his left lower leg. Which of the following instructions should the
nurse include? - ANSWER>>Report any numbness or pain in your toes.
A nurse is assessing a client who has a puncture wound on his foot. Which of the
following findings is a manifestation of acute osteomyelitis? - ANSWER>>Localized
erythema
A nurse is preparing a community presentation about repetitive motion injuries.
Which of the following occupations should the nurse identify as increasing a
client's risk for carpal tunnel syndrome? - ANSWER>>Assembly line worker
,A nurse is assessing a client who has a left lower arm fracture. Which of the
following findings indicates impaired venous return in the client's affected arm? -
ANSWER>>Increasing edema
A nurse is caring for a client who has had a myocardial infarction. Upon his first
visit to cardiac rehabilitation, he tells the nurse that he doesn't understand why
he needs to be there because there is nothing more to do, as the damage is done.
Which of the following is the correct nursing response? - ANSWER>>Cardiac
rehabilitation cannot undo the damage to your heart but it can help you get back
to your previous level of activity safely.
A nurse at a rehabilitation center is planning care for a client who had a left
hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following
goals should the nurse include in the client's rehabilitation program? -
ANSWER>>Establish the ability to communicate effectively.
A nurse is caring for a client who is prescribed bedrest. The plan of care indicates
that the client should perform isometric exercises every 2 hours. Which of the
following actions should the nurse take as directed by the plan of care? -
ANSWER>>Instruct the client to tighten muscle groups for a short period, and
then relax.
A nurse is providing discharge teaching to a client who has a fracture of the right
tibia and fiberglass cast. Which of the following instructions should the nurse
include in the teaching? - ANSWER>>Report any worsening or unrelieved pain.
A nurse is caring for a client who is to start therapy with ibuprofen for hip pain.
Which of the following information should the nurse provide about ibuprofen? -
ANSWER>>Take the medication with food.
An occupational health nurse is instructing workers at an industrial facility about
emergency procedures to take in the event of a traumatic amputation of a finger.
Which of the following guidelines should the nurse include for preserving an
, amputated part for possible surgical reattachment? - ANSWER>>Wrap the
amputated finger in dry sterile gauze
Put the amputated finger in a sealed, waterproof plastic bag
Prevent the amputated finger from contacting water
A nurse is teaching a newly licensed nurse about the difference between a plaster
cast and a synthetic cast. Which of the following information should the nurse
include in the teaching? - ANSWER>>A synthetic cast weighs less.
A nurse is providing teaching to a parent of a child who has a fracture of an
epiphyseal plate. Which of the following statements should the nurse make? -
ANSWER>>Normal bone growth can be affected.
A nurse in a long-term care facility has assigned a task to an assistive personnel
(AP). The AP refuses to perform the task. Which of the following is an appropriate
statement for the nurse to make? - ANSWER>>I need to talk to you about the unit
policies regarding client assignments.
A nurse is caring for a client who is postoperative following an open reduction
internal fixation (ORIF) of a femur fracture. Which of the following parameters
should the nurse include in the evaluation of the neurovascular status of the
client's affected proximity? - ANSWER>>Color (Pallor or Cyanosis)
A nurse is caring for a client who sustained a femur fracture in an automobile
accident and is placed into skeletal traction. The nurse may remove the weights
from the traction device if which of the following occurs? - ANSWER>>The client
develops a life-threatening situation.
A nurse notes increasing edema in the calf of a client who has multiple fracture of
the leg. The nurse should recognize that increasing edema is a manifestation of
which of the following complications? - ANSWER>>Acute compliant syndrome.
AND CORRECT DETAILED ANSWERS
|ALREADY GRADED A+
A nurse is developing a plan of care for a client who has a spinal fracture and
complete spinal cord transection at the level of C5. Which of the following
rehabilitation goals should the nurse add to the client's plan of care? -
ANSWER>>Ability to self-feed with the use of adaptive equipment
A nurse is caring for a client who is postoperative following a below the knee
amputation and will soon undergo fitting for a leg prosthesis. Which of the
following is an appropriate nursing intervention for this client at this time? -
ANSWER>>Wrap the residual limb with an elastic bandage in a figure eight
configuration.
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? - ANSWER>>Pallor of the toes.
A nurse is providing discharge teaching to a client who has a Plaster of Paris
walking cast on his left lower leg. Which of the following instructions should the
nurse include? - ANSWER>>Report any numbness or pain in your toes.
A nurse is assessing a client who has a puncture wound on his foot. Which of the
following findings is a manifestation of acute osteomyelitis? - ANSWER>>Localized
erythema
A nurse is preparing a community presentation about repetitive motion injuries.
Which of the following occupations should the nurse identify as increasing a
client's risk for carpal tunnel syndrome? - ANSWER>>Assembly line worker
,A nurse is assessing a client who has a left lower arm fracture. Which of the
following findings indicates impaired venous return in the client's affected arm? -
ANSWER>>Increasing edema
A nurse is caring for a client who has had a myocardial infarction. Upon his first
visit to cardiac rehabilitation, he tells the nurse that he doesn't understand why
he needs to be there because there is nothing more to do, as the damage is done.
Which of the following is the correct nursing response? - ANSWER>>Cardiac
rehabilitation cannot undo the damage to your heart but it can help you get back
to your previous level of activity safely.
A nurse at a rehabilitation center is planning care for a client who had a left
hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following
goals should the nurse include in the client's rehabilitation program? -
ANSWER>>Establish the ability to communicate effectively.
A nurse is caring for a client who is prescribed bedrest. The plan of care indicates
that the client should perform isometric exercises every 2 hours. Which of the
following actions should the nurse take as directed by the plan of care? -
ANSWER>>Instruct the client to tighten muscle groups for a short period, and
then relax.
A nurse is providing discharge teaching to a client who has a fracture of the right
tibia and fiberglass cast. Which of the following instructions should the nurse
include in the teaching? - ANSWER>>Report any worsening or unrelieved pain.
A nurse is caring for a client who is to start therapy with ibuprofen for hip pain.
Which of the following information should the nurse provide about ibuprofen? -
ANSWER>>Take the medication with food.
An occupational health nurse is instructing workers at an industrial facility about
emergency procedures to take in the event of a traumatic amputation of a finger.
Which of the following guidelines should the nurse include for preserving an
, amputated part for possible surgical reattachment? - ANSWER>>Wrap the
amputated finger in dry sterile gauze
Put the amputated finger in a sealed, waterproof plastic bag
Prevent the amputated finger from contacting water
A nurse is teaching a newly licensed nurse about the difference between a plaster
cast and a synthetic cast. Which of the following information should the nurse
include in the teaching? - ANSWER>>A synthetic cast weighs less.
A nurse is providing teaching to a parent of a child who has a fracture of an
epiphyseal plate. Which of the following statements should the nurse make? -
ANSWER>>Normal bone growth can be affected.
A nurse in a long-term care facility has assigned a task to an assistive personnel
(AP). The AP refuses to perform the task. Which of the following is an appropriate
statement for the nurse to make? - ANSWER>>I need to talk to you about the unit
policies regarding client assignments.
A nurse is caring for a client who is postoperative following an open reduction
internal fixation (ORIF) of a femur fracture. Which of the following parameters
should the nurse include in the evaluation of the neurovascular status of the
client's affected proximity? - ANSWER>>Color (Pallor or Cyanosis)
A nurse is caring for a client who sustained a femur fracture in an automobile
accident and is placed into skeletal traction. The nurse may remove the weights
from the traction device if which of the following occurs? - ANSWER>>The client
develops a life-threatening situation.
A nurse notes increasing edema in the calf of a client who has multiple fracture of
the leg. The nurse should recognize that increasing edema is a manifestation of
which of the following complications? - ANSWER>>Acute compliant syndrome.
