ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and is unable to move independently. The nurse should monitor for which of the following complications of immobility?
Correct Answer: A
Rationale: A reddened area over the sacrum indicates potential pressure ulcer development, a common complication of immobility. Hearing difficulties are unrelated, stiffness is a longer-term issue, and upper extremity movement issues are likely due to the stroke itself.
Question 2 of 5
Which of the following statements about HIPAA indicates a need for further teaching?
Correct Answer: C
Rationale: The statement 'Information about a client can be disclosed to family members at any time' is incorrect. Under HIPAA, protected health information can only be disclosed to family members under specific conditions, such as with patient permission or when relevant to their involvement in the patient's care.
Question 3 of 5
The nurse is planning preoperative care for a client who has a fractured wrist. Which of the following should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: Preoperative diazepam reduces anxiety and facilitates anesthesia induction, appropriate for wrist fracture surgery.
Question 4 of 5
A nurse is caring for a client who has prostate cancer and has undergone a prostatectomy. Which of the following should the nurse understand as a potential complication of prostate surgery?
Correct Answer: B
Rationale: Erectile dysfunction is a common complication of prostatectomy due to potential nerve and blood vessel damage. Testicular torsion is unrelated, cystitis is less common, and paralytic ileus, while possible, is typically temporary.
Question 5 of 5
A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The first action should be to check the tubing for kinks, as this is a common and easily correctable cause of obstruction in catheter drainage. Adjusting the irrigant rate or irrigating the catheter may be subsequent steps, and notifying the provider is appropriate only if initial troubleshooting fails.