ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a new skin lesion that has a wavy border. The nurse should document the lesion using which of the following descriptions?
Correct Answer: D
Rationale: Serpiginous lesions have a wavy, snake-like border, matching the described lesion.
Question 2 of 5
A charge nurse is teaching a group of healthcare workers about hand hygiene to prevent infection. Which of the following information should the charge nurse include in the teaching?
Correct Answer: C
Rationale: Chlorhexidine is recommended for hand hygiene in immunocompromised patients due to its broad-spectrum antimicrobial activity. Artificial nails should be avoided, not just trimmed. Soap and water are required for C. difficile, as alcohol-based rubs are ineffective. Hand hygiene before eye drops should ensure clean hands, with no specific preference for alcohol-based rubs.
Question 3 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 4 of 5
A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the following values should give the nurse the best indication of the client's renal function?
Correct Answer: D
Rationale: Serum creatinine is a direct indicator of renal function, elevated in SLE-related kidney impairment.
Question 5 of 5
A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings should the nurse identify as a contraindication to this medication?
Correct Answer: A
Rationale: Morphine is contraindicated in paralytic ileus as it decreases gastrointestinal motility, worsening the condition.