ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A charge nurse is teaching a group of healthcare workers about hand hygiene to prevent infection. Which of the following information should the charge nurse include in the teaching?
Correct Answer: C
Rationale: Chlorhexidine is recommended for hand hygiene in immunocompromised patients due to its broad-spectrum antimicrobial activity. Artificial nails should be avoided, not just trimmed. Soap and water are required for C. difficile, as alcohol-based rubs are ineffective. Hand hygiene before eye drops should ensure clean hands, with no specific preference for alcohol-based rubs.
Question 2 of 5
A nurse is reviewing the laboratory report of a client's most recent Pap smear that indicates moderately abnormal cervical cells were present. Based on the description of the cells, which of the following changes of precancerous cell growth to the client's cervix should the nurse identify?
Correct Answer: D
Rationale: Dysplasia refers to the presence of abnormal cells within a tissue or organ, characterized by changes in cell size, shape, uniformity, arrangement, and structure. In the context of a Pap smear, dysplasia is indicative of precancerous changes.
Question 3 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Fluid overload causes increased respiratory rate, blood pressure, and heart rate due to pulmonary edema and increased blood volume.
Question 4 of 5
A nurse is assessing a client who reports a nevus that has increased in size and an irregularly shaped lesion that varies in color. These findings are consistent with which of the following medical diagnoses?
Correct Answer: B
Rationale: Malignant melanoma is characterized by changing nevi with size increase and color variation.
Question 5 of 5
A nurse is admitting a client to the surgical unit from the Post-Anesthesia Care Unit (PACU) following a cholecystectomy. Which of the following assessments is the nurse's priority?
Correct Answer: B
Rationale: Oxygen saturation is the priority to ensure adequate respiratory function post-anesthesia.