ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a history of exposure to TB and symptoms of night sweats and hemoptysis. Which of the following tests should the nurse realize is the most reliable to confirm the diagnosis of active pulmonary TB?
Correct Answer: B
Rationale: A sputum culture for acid-fast bacillus is the gold standard for confirming active pulmonary TB, providing definitive diagnosis.
Question 2 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 3 of 5
A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and is unable to move independently. The nurse should monitor for which of the following complications of immobility?
Correct Answer: A
Rationale: A reddened area over the sacrum indicates potential pressure ulcer development, a common complication of immobility. Hearing difficulties are unrelated, stiffness is a longer-term issue, and upper extremity movement issues are likely due to the stroke itself.
Question 4 of 5
A nurse is caring for a client who reports low back pain and asks the nurse for specific exercise recommendations. Which of the following activities should the nurse suggest?
Correct Answer: D
Rationale: Swimming is a low-impact exercise that does not put additional stress on the spine. The buoyancy of the water supports the body, reducing the load on the back while allowing for a full range of motion, making it suitable for managing low back pain.
Question 5 of 5
A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?
Correct Answer: A
Rationale: A high fiber diet does not reduce skin cancer risk, indicating a need for further teaching. Avoiding tanning booths, using sunscreen on cloudy days, and monthly skin checks are correct preventive measures.