ATI RN
ATI Nur258 Med Surg 2 Final Exam Questions
Extract:
Question 1 of 5
A 45-year-old woman has just undergone a radical hysterectomy for invasive cervical cancer. Prior to the surgery, the healthcare provider explained to the client that after the surgery an internal source of radiation would be placed near the tumor site to aid in reducing recurrence. Based on this information, the nurse knows to educate the client on which safety precaution?
Correct Answer: C
Rationale: For internal radiation therapy, maintaining distance from others, typically around 6 feet, is important to minimize radiation exposure to others. This safety measure helps reduce the risk of radiation exposure to family members and visitors.
Question 2 of 5
A nurse is providing education about levothyroxine to a client diagnosed with primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?
Correct Answer: A
Rationale: Levothyroxine is a thyroid hormone replacement used to treat hypothyroidism. Symptoms such as tremors, nervousness, and insomnia can indicate that the dose is too high, as these are signs of hyperthyroidism.
Extract:
Nurses' Notes
0800:
Lungs clear to auscultation in all lobes anterior and posterior. Intravenous (IV) 0.9% sodium chloride infusing into left forearm at 125 mL/hr. Bowel sounds hypoactive in all four quadrants. Abdomen soft and tender to palpation. Abdominal dressing dry and intact. Scant vaginal bleeding observed. Intermittent pneumatic compression devices observed on bilateral lower extremities. Foley catheter intact and patent draining to bedside bag. Instructed client to turn and cough every 2 hrs. while awake. Demonstrated splinting incision with pillow when coughing
1000:
Attempted to assist client with turning and coughing.
Vital Signs
1000:
Temperature 37.3° C (99.14° F)
Blood pressure 116/76 mm Hg
Heart rate 90/min
Respiratory rate 20/min
SpO2 93% on room air
Question 3 of 5
Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing....,.........and....
Correct Answer: A,B,C
Rationale: Postoperative clients are at risk for pneumonia due to reduced lung expansion, DVT due to immobility, and pressure injuries from prolonged bed rest.
Extract:
Question 4 of 5
A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Clean gloves are appropriate for contact with the client or the wound, as MRSA is transmitted through direct contact. This prevents contamination while assessing the client.
Question 5 of 5
A nurse is caring for a client in the emergent/resuscitative phase of burn injury. During this phase, the nurse should monitor for evidence of what alteration in laboratory values?
Correct Answer: B
Rationale: Increased hematocrit is common in the emergent/resuscitative phase of burn injury due to fluid shifts and loss of plasma volume, leading to hemoconcentration.