ATI RN MED SURG RETAKE 2023 UPDATED VERSION 100
QUESTIONS AND UPDATED CORRECT ANSWERS
1. A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg
fiberglass cast. Which of the following findings should the nurse expect?
a. Bounding distal pulses
b. Intense pain with movement
c. Capillary refill less than 2 seconds
d. Erythema of the toes
2. A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the following
manifestations indicates a hemolytic transfusion reaction?
a. Bradycardia
b. Back pain
c. Chills
d. Hypertension
3. A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions
should the nurse take to prevent hip dislocation?
a. Remove the wedge device when turning
b. Encourage the client to lean forward when attempting to stand
c. Place two bed pillows between the legs when in bed
d. Elevate the knees higher than the hips when sitting
4. A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse
should recognize that the client is at risk for an allergic cross-reactivity to which of the following
substances
1. Povidone-iodin
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