ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 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 in the affected arm 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.
Question 2 of 5
A nurse is caring for a client who has multiple long bone fractures caused by a motor-vehicle crash that happened 24 hours ago. The client tells the nurse he is short of breath and is experiencing chest pain. The nurse should assess the client further for which of the following potential complications?
Correct Answer: D
Rationale: Fat embolism syndrome is a serious complication following long bone fractures, where fat globules enter the bloodstream and cause respiratory distress and chest pain.
Question 3 of 5
During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest. The lesion is raised and flesh-colored with pearly white borders. The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?
Correct Answer: B
Rationale: Basal cell carcinoma often appears as a raised, pearly bump, matching the description of a flesh-colored lesion with pearly white borders.
Question 4 of 5
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL before the client's breakfast. Which of the following actions is the nurse's priority?
Correct Answer: A
Rationale: Monitoring for hypoglycemia is the priority due to the risk of low blood sugar from the incorrect insulin dose.
Question 5 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.