ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has Paget's disease of the bone. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale:
Choice A: Cold extremities are not a typical symptom associated with Paget's disease of the bone. This condition usually does not affect the temperature of the limbs directly.
Choice B: Skeletal pain is a common symptom in Paget's disease due to the abnormal bone remodeling process. The affected bones may become painful, especially in the pelvis, spine, skull, and long bones.
Choice C: Visual loss can occur if Paget's disease affects the skull, leading to increased pressure on the nerves associated with vision. This pressure can result in visual impairment or loss.
Choice D: Cranial enlargement is a possible finding in Paget's disease when the skull is involved. The abnormal bone growth can cause the skull to increase in size.
Choice E: An abnormal gait may develop if Paget's disease affects the legs, causing the bones to bow and leading to difficulty walking.
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
A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the following instructions about maintaining skin integrity should the nurse include?
Correct Answer: B
Rationale: Avoiding heat to the irradiated area prevents increased skin irritation and burns, making this the correct instruction.
Question 4 of 5
A nurse is caring for a client who is scheduled for abdominal surgery. Which of the following nursing interventions should the nurse include in the preoperative education?
Correct Answer: D
Rationale: Providing instructions on how to cough and deep breathe effectively is a critical component of preoperative education for clients undergoing abdominal surgery. Effective coughing and deep breathing exercises help prevent postoperative complications such as pneumonia and atelectasis by promoting lung expansion and secretion clearance.
Question 5 of 5
A group of nurses are discussing risk factors for the transmission of human immunodeficiency virus (HIV) from clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV?
Correct Answer: C
Rationale: A phlebotomist collecting blood from HIV-positive clients is at greatest risk due to potential exposure to blood through needlestick injuries or mucous membrane contact. Personal trainers, occupational therapists, and urine sample collectors have minimal risk, as HIV is not transmitted through casual contact or urine.