ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a 68-kg (150-lb) client who has dehydration. Which of the following manifestations is an indication of effective treatment?
Correct Answer: C
Rationale: Urine output of 75 mL in 1 hr is within the normal range for an adult (0.5 to 1 mL/kg/hr), indicating that the kidneys are functioning and the body is excreting waste, suggesting effective rehydration.
Question 3 of 5
A nurse is caring for a client immediately following a hemodialysis treatment. For which of the following manifestations will the nurse administer a PRN dose of phenytoin?
Correct Answer: A
Rationale: Phenytoin is an antiepileptic drug used to treat and prevent seizures. Headache and restlessness could be signs of neurological irritation or an impending seizure, which phenytoin can help manage.
Question 4 of 5
A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?
Correct Answer: C
Rationale: Performing a neurovascular assessment is the priority to detect compromised blood flow or nerve injury.
Question 5 of 5
A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?
Correct Answer: C
Rationale: Disclosing information to family without permission violates HIPAA, indicating a need for further teaching.