ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse has received a report on a group of clients. Which of the following clients should the nurse assess first?
Correct Answer: D
Rationale: A client with a stroke reporting severe headache and confusion may have increased intracranial pressure or hemorrhage, requiring immediate assessment.
Question 2 of 5
A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?
Correct Answer: D
Rationale: Instructing the client to wiggle his toes is a direct assessment of motor function, a key component of neurovascular status, helping to determine if there is any impairment in nerve function or blood supply to the affected area.
Question 3 of 5
A nurse is teaching a group of newly licensed nurses on effective techniques for counseling clients about sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: Asking about past or present STI exposure is essential for assessing risk and tailoring prevention and treatment strategies.
Question 4 of 5
A nurse is caring for a client who has lung cancer and is scheduled for a lobectomy. The nurse should prepare the client to expect which of the following after the procedure?
Correct Answer: D
Rationale: The placement of a chest tube is a standard part of care following a lobectomy. The chest tube allows for drainage of fluid and air from the pleural space, ensuring proper lung expansion and preventing complications such as pneumothorax. Patients should be educated about the chest tube's purpose, care, and the sensations they may experience while the tube is in place.
Question 5 of 5
A nurse is assessing a client who has type 1 diabetes mellitus and finds the client lying in bed, sweating, and reporting feeling anxious. Which of the following complications should the nurse suspect?
Correct Answer: D
Rationale: Hypoglycemia is characterized by symptoms such as sweating, anxiety, palpitations, and confusion due to low blood glucose levels.