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 spinal cord injury and suspects the client is developing autonomic dysreflexia. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Placing the client in a sitting position, or elevating the head of the bed to at least 45 degrees, is the first and most critical action when autonomic dysreflexia is suspected. This position helps to lower blood pressure by promoting venous return to the heart and can prevent complications such as stroke from the sudden hypertension associated with autonomic dysreflexia.
Question 2 of 5
A nurse in an allergy clinic is caring for a client who has a history of seasonal allergy symptoms. The client had a radioallergosorbent test (RAST) completed on a previous visit. The nurse should recognize that an elevation in which of the following immunoglobulins indicates a positive result?
Correct Answer: D
Rationale: Immunoglobulin E (IgE) is the antibody that plays a central role in the pathophysiology of allergic diseases, including seasonal allergies. An elevation in IgE levels typically indicates a positive result for an allergy test such as RAST.
Question 3 of 5
A nurse is caring for several clients at a community clinic. Which of the following clients is most at risk for developing type 2 diabetes mellitus?
Correct Answer: B
Rationale: A 40-year-old client with hypoglycemia is at higher risk for type 2 diabetes, as hypoglycemia can indicate insulin resistance or pre-diabetes, especially with age-related risk factors. Autoimmune disorders are linked to type 1 diabetes, lack of sleep is a weaker predictor, and never giving birth is not a risk factor.
Question 4 of 5
A nurse is providing teaching to a client who has a prescription for heat therapy for the treatment of cellulitis of the right lower leg. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: Wrapping a warm, wet towel around the affected area (
B) is a safe and effective method for applying moist heat, which improves blood flow and reduces discomfort in cellulitis. Heat lamps (
A) risk burns and skin drying, heating pads (
C) may cause burns or exacerbate swelling, and soaking (
D) can introduce bacteria, worsening the infection.
Question 5 of 5
A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications?
Correct Answer: A,B,C
Rationale: Acetaminophen, celecoxib, and ibuprofen are commonly used for pain relief and inflammation in osteoarthritis. Cyclobenzaprine is a muscle relaxant and not typically used for osteoarthritis.