ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a spinal cord injury with heterotopic ossifications. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Arthralgia is expected with heterotopic ossification due to ectopic bone formation near joints.
Question 2 of 5
A nurse is planning care for a client who is 2 hours postoperative following a transurethral resection of the prostate (TURP). The client is receiving continuous bladder irrigation. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: It is common for clients to feel a constant urge to void due to bladder irritation from the catheter and continuous bladder irrigation. Reminding the client that this is normal can alleviate anxiety.
Question 3 of 5
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.)
Correct Answer: B,C,E
Rationale: A weakened gag reflex, hypotension, and absence of bowel sounds are complications of a cervical spinal cord injury. Polyuria is not typically related, and hyperthermia is less common as a direct complication.
Question 4 of 5
A nurse is creating the plan of care for a client who is immunosuppressed. Which of the following precautions should the nurse include in the plan? (Select all that apply.)
Correct Answer: A,B,E
Rationale: Instructing the client to eat cooked foods, restricting visitors with active infections, and donning protective gear are necessary precautions to protect an immunosuppressed client from infections.
Question 5 of 5
A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication?
Correct Answer: B
Rationale: Erythrocyte sedimentation rate (ESR) measures inflammation and is used to assess RA severity. A decrease in ESR indicates aspirin's effectiveness in reducing inflammation. ANA and RF are diagnostic, not monitoring, tests, and WBC count is not specific to aspirin's effects.