ATI RN
ATI Nur258 Med Surg 2 Final Exam Questions
Extract:
Question 1 of 5
A client with Meniere disease is instructed to modify his diet. The nurse would explain that which item would be acceptable for the client to include?
Correct Answer: B
Rationale: Scrambled eggs are low in sodium and are an appropriate food choice for a client with Meniere disease. This option supports the dietary modifications needed to manage the condition effectively.
Question 2 of 5
A nurse is caring for a client who has an infection. The nurse should use which of the following strategies to prevent the transmission of the client's infection?
Correct Answer: A
Rationale: Performing hand hygiene before, during, and after direct contact with the client is the most effective strategy for preventing the transmission of infections. Hand hygiene interrupts the transmission of pathogens and is a cornerstone of infection control practices.
Question 3 of 5
A nurse is caring for an older adult client who has just received the diagnosis of endometrial cancer. In taking a nursing history, which of the following manifestations is likely to be reported by this client?
Correct Answer: B
Rationale: Postmenopausal vaginal bleeding is a common symptom of endometrial cancer. It is one of the most significant warning signs for this condition in older women, as it may indicate abnormal growth in the endometrial lining.
Extract:
Nurses Notes
Day 3 of hospitalization:
0730
Fingerstick blood glucose, fasting 114 mg/dL (nl. 60 to 110 mg/dL)
NPH insulin 40 units subcutaneous administered into abdomen as prescribed
0830:
Client reports nausea with emesis; vomited morning meal
1130:
Client reports feeling shaky, hungry, skin cool and diaphoretic Fingerstick blood glucose 55 mg/dL (nl. 60 to 110 mg/dL)
Vital Signs
Day 3 of hospitalization:
0700:
Temperature 37.3 °C (99.1 °F)
Blood pressure 118/62 mm Hg
Heart rate 84/min
Respiratory rate 20/min
SpO2 97% on room air
1130:
Temperature 37.8 °C (100 °F)
Blood pressure 104/56 mm Hg
Heart rate 118/min
Respiratory rate 20/min
SpO2, 95% on room air
Diagnostic Results
Day 3 of hospitalization:
HbA1c: 8.01% (nl. 4.4-6,4% )
Question 4 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: A,B,D
Rationale: Hypoglycemia (glucose 55 mg/dL), shakiness, and elevated heart rate require immediate follow-up to manage low blood sugar and assess underlying causes.
Extract:
Question 5 of 5
A nurse is caring for a client who has been diagnosed with leukemia. The nurse's most recent assessment reveals the presence of ecchymoses on the client's sacral area and petechiae on the forearms. Based on the most recent assessment findings, the nurse should perform which action?
Correct Answer: D
Rationale: Checking the client's most recent platelet level is the most appropriate action because ecchymoses and petechiae are signs of potential thrombocytopenia (low platelet count), which is common in leukemia. Monitoring platelet levels will help determine if there is a need for interventions to address bleeding risks.