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ATI MEDSURG 2 EXAM 2 NEWEST 2025 ACTUAL EXAM COMPLETE
160 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
A nurse is assessing a client who is 48hr postoperative following open
reduction and internal fixation of a fractured tibia. which of the following
findings should the nurse report to the provider?
A. toes that are cold to the touch
B. serous drainage from the pin sites
C. Blanching of the toenail beds with pressure
D. Pink tissue around the fixer insertion sites - ANSWER-A
A nurse is caring for a client who his postoperative following a total knee
arthroplasty and has been prescribed a continuous passive motion (CPM)
machine and PCA. the client tells the nurse, "I am in so much pain." which
of the following actions should the nurse take first?
A. remind the client to push the button for the PCA device
B. discuss activities the client may use to distract from the pain
C. Ask the client to describe the characteristics of the pain
D. Pause the CPM machine briefly to apply a cold pack to the clients knee -
ANSWER-C
- first you assess
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a nurse is caring for a client who is 3 days postoperative following a below
the knee amputation. which of the following actions should the nurse take?
A. place the client on a soft mattress
B. rewrap the residual limb with. bandage 3 times per day
C. assist the client into a prone position for 20 min every 8 hr daily
D. turn the client every 4 hr while in bed - ANSWER-B
- rewrapping the bandage allows the nurse to check the skin for
redness or skin breakdown
A nurse is caring for a client who has a fractured right hip. which of the
following types of traction should the nurse expect the client to have prior to
hip arthroplasty surgery?
A. balances skeletal traction
B. pelvic belt
C. Pelvic sling
D. Bucks traction - ANSWER-D
Bucks traction is used prior hip arthroplasty to maintain alignment and
prevent muscle spasms prior to surgery.
a nurse in the ER is assessing a client who was in a motor vehicle crash 2
days ago and sustained fractures of his tibia, ulna, and several ribs. the client
is now disoriented to time and place and has a SaO2 of 87%. the nurse notes
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generalized petechiae on the clients skin. which of the following
complications should the nurse suspect?
A. hypovolemic shock
B. fat embolism syndrome
C. thrombophlebitis
D. avascular bone necrosis - ANSWER-B
A nurse is caring for a client who is wearing a halo fixator. which of the
following interventions should the nurse implement? SATA
A. monitor the clients vital signs every 4 hours
B. Monitor the clients pins sites for loosening
C. hold the halo device when Turing the client
D. check the clients skin to ensure the jacket is not applying pressure
E. adjust the screws holding the clients halo device in place to ensure a
proper fit - ANSWER-A, B, D
A nurse is preparing a client who is postoperative following total hip
arthroplasty for discharge. Which of the following statements indicates that
the client understands the instructions?
A. "ill use alcohol pads to clean my incision each day
B. "when im doing my exercises, ill include bent leg raises
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C. "ill use a reacher to help me pick up anything I drop on the floor
D. "when I can walk without my walker, I can stop attending physical therapy
- ANSWER-C
- to prevent dislocation, the client must avoid flexing to 90 degree at
the waist. using a device will help prevent dislocation.
A nures is caring for a client who had a fiberglass cast placed on her left arm
several hours ago and now reports itching under the cast. which of the
following actions should the nurse plan to take?
A. use a hair dryer on a cool setting to blow air into the cast
B. ask the provider to bivalve the cast
C. provide the client with a sterile cotton swab to rub the affected skin
D. Wrap the extremity with a dry heating pad - ANSWER-A
A nurse is providing discharge teaching for a client who had a left total hip
arthroplasty. which of the following client statements indicates the teaching
was effective?
A. "I should expect swelling of the affected leg for several weeks
B. "I should not cross my legs at the ankles or knees
C. "I will inspect my hip incision every other day for redness
D. "I can bend over at the hip to pick up objects - ANSWER-B
ATI MEDSURG 2 EXAM 2 NEWEST 2025 ACTUAL EXAM COMPLETE
160 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
A nurse is assessing a client who is 48hr postoperative following open
reduction and internal fixation of a fractured tibia. which of the following
findings should the nurse report to the provider?
A. toes that are cold to the touch
B. serous drainage from the pin sites
C. Blanching of the toenail beds with pressure
D. Pink tissue around the fixer insertion sites - ANSWER-A
A nurse is caring for a client who his postoperative following a total knee
arthroplasty and has been prescribed a continuous passive motion (CPM)
machine and PCA. the client tells the nurse, "I am in so much pain." which
of the following actions should the nurse take first?
A. remind the client to push the button for the PCA device
B. discuss activities the client may use to distract from the pain
C. Ask the client to describe the characteristics of the pain
D. Pause the CPM machine briefly to apply a cold pack to the clients knee -
ANSWER-C
- first you assess
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a nurse is caring for a client who is 3 days postoperative following a below
the knee amputation. which of the following actions should the nurse take?
A. place the client on a soft mattress
B. rewrap the residual limb with. bandage 3 times per day
C. assist the client into a prone position for 20 min every 8 hr daily
D. turn the client every 4 hr while in bed - ANSWER-B
- rewrapping the bandage allows the nurse to check the skin for
redness or skin breakdown
A nurse is caring for a client who has a fractured right hip. which of the
following types of traction should the nurse expect the client to have prior to
hip arthroplasty surgery?
A. balances skeletal traction
B. pelvic belt
C. Pelvic sling
D. Bucks traction - ANSWER-D
Bucks traction is used prior hip arthroplasty to maintain alignment and
prevent muscle spasms prior to surgery.
a nurse in the ER is assessing a client who was in a motor vehicle crash 2
days ago and sustained fractures of his tibia, ulna, and several ribs. the client
is now disoriented to time and place and has a SaO2 of 87%. the nurse notes
,3|Page
generalized petechiae on the clients skin. which of the following
complications should the nurse suspect?
A. hypovolemic shock
B. fat embolism syndrome
C. thrombophlebitis
D. avascular bone necrosis - ANSWER-B
A nurse is caring for a client who is wearing a halo fixator. which of the
following interventions should the nurse implement? SATA
A. monitor the clients vital signs every 4 hours
B. Monitor the clients pins sites for loosening
C. hold the halo device when Turing the client
D. check the clients skin to ensure the jacket is not applying pressure
E. adjust the screws holding the clients halo device in place to ensure a
proper fit - ANSWER-A, B, D
A nurse is preparing a client who is postoperative following total hip
arthroplasty for discharge. Which of the following statements indicates that
the client understands the instructions?
A. "ill use alcohol pads to clean my incision each day
B. "when im doing my exercises, ill include bent leg raises
, 4|Page
C. "ill use a reacher to help me pick up anything I drop on the floor
D. "when I can walk without my walker, I can stop attending physical therapy
- ANSWER-C
- to prevent dislocation, the client must avoid flexing to 90 degree at
the waist. using a device will help prevent dislocation.
A nures is caring for a client who had a fiberglass cast placed on her left arm
several hours ago and now reports itching under the cast. which of the
following actions should the nurse plan to take?
A. use a hair dryer on a cool setting to blow air into the cast
B. ask the provider to bivalve the cast
C. provide the client with a sterile cotton swab to rub the affected skin
D. Wrap the extremity with a dry heating pad - ANSWER-A
A nurse is providing discharge teaching for a client who had a left total hip
arthroplasty. which of the following client statements indicates the teaching
was effective?
A. "I should expect swelling of the affected leg for several weeks
B. "I should not cross my legs at the ankles or knees
C. "I will inspect my hip incision every other day for redness
D. "I can bend over at the hip to pick up objects - ANSWER-B
