ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4+ T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?
Correct Answer: C
Rationale: Candidiasis is a common opportunistic infection in HIV/AIDS patients with low CD4+ T-cell counts, causing oral thrush.
Question 2 of 5
A nurse is assessing a client who has a left lower arm fracture.Which of the following findings indicates impaired venous return in the client's affected arm?
Correct Answer: D
Rationale: Increasing edema is a sign of impaired venous return. When veins are unable to effectively return blood to the heart, fluid can accumulate in the tissues, leading to edema. Ecchymosis indicates bleeding or injury but not specifically impaired venous return. Acute pain is expected with a fracture and does not directly suggest venous issues. A bounding distal pulse suggests increased arterial flow, not impaired venous return.
Question 3 of 5
A nurse is assessing a client's immune function by reviewing the laboratory value of the cellular response of the T-cells. The nurse should recognize that which of the following conditions is affected by the T-cells?
Correct Answer: C
Rationale: T-cells play a central role in transplant rejection by attacking the transplanted tissue recognized as foreign.
Question 4 of 5
A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?
Correct Answer: C
Rationale: Chvostek's sign is a clinical sign of neuromuscular irritability seen in hypocalcemia, which can occur after thyroid surgery due to parathyroid gland damage.
Question 5 of 5
A nurse is assessing a client who has a rotator cuff injury. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Difficulty with abduction of the arm at the shoulder is a common finding in clients with a rotator cuff injury. The rotator cuff is a group of muscles and tendons that stabilize the shoulder joint and facilitate its movement. When these muscles or tendons are injured, movements such as lifting the arm away from the body (abduction) can become painful and difficult.