ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is assessing the reflexes of a client who has an unrepaired femur fracture and has suddenly become stuporous. For which of the following findings should the nurse identify that the client exhibits Babinski's sign?
Correct Answer: A
Rationale: A positive Babinski's sign in adults, indicated by dorsiflexion of the great toe, suggests neurological dysfunction, possibly from a complication like fat embolism.
Question 2 of 5
A nurse is providing discharge teaching to a client who has a Plaster of Paris walking cast on his left lower leg. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Numbness or pain in the toes can indicate compromised circulation or nerve compression, requiring immediate reporting.
Question 3 of 5
A nurse is caring for a client with a chronic wound. Which of the following is a systemic cause of chronic wounds?
Correct Answer: B
Rationale: Malnutrition is indeed a systemic cause of chronic wounds. Adequate nutrition is essential for wound healing, as it provides the necessary proteins, vitamins, and minerals that play a crucial role in the repair process. Protein-energy malnutrition, deficiencies in vitamins C and D, zinc, and other nutrients can impair wound healing and lead to chronic wounds.
Question 4 of 5
A nurse is caring for a client who has erectile dysfunction. Which of the following lab tests should the nurse expect will be ordered to evaluate this client?
Correct Answer: A,B,D,E
Rationale: TSH levels can affect sexual function. Both hyperthyroidism and hypothyroidism can lead to ED. Diabetes mellitus is a common cause of ED. High blood glucose levels can damage blood vessels and nerves that control erection. Low testosterone levels can lead to a decrease in sexual desire and ED. High cholesterol can lead to atherosclerosis, which can impede blood flow to the penis and cause ED.
Question 5 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.