ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?
Correct Answer: D
Rationale: Instructing the client to wiggle his toes is a direct assessment of motor function, a key component of neurovascular status, helping to determine if there is any impairment in nerve function or blood supply to the affected area.
Question 2 of 5
A nurse is caring for a client with a new diagnosis of Paget's disease. The nurse anticipates the provider will prescribe which of the following medications for this client?
Correct Answer: A
Rationale: Alendronate, a bisphosphonate, is commonly prescribed for Paget's disease to regulate bone growth by inhibiting osteoclasts. Colchicine and allopurinol are used for gout, and prednisone, while sometimes used for inflammation, is not a primary treatment for Paget's disease.
Question 3 of 5
A nurse is caring for a 68-kg (150-lb) client who has dehydration. Which of the following manifestations is an indication of effective treatment?
Correct Answer: C
Rationale: Urine output of 75 mL in 1 hr is within the normal range for an adult (0.5 to 1 mL/kg/hr), indicating that the kidneys are functioning and the body is excreting waste, suggesting effective rehydration.
Question 4 of 5
A nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate? (Select all that apply.)
Correct Answer: B,C
Rationale: Minimizing moisture and elevating heels prevent skin breakdown; massaging red areas, 4-hour turning, and powder use are inappropriate.
Question 5 of 5
A nurse is assessing a client who has a new skin lesion that has a wavy border. The nurse should document the lesion using which of the following descriptions?
Correct Answer: D
Rationale: Serpiginous lesions have a wavy, snake-like border, matching the described lesion.