ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse is collecting the medical history from a client who has manifestations of the syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if they have a history of which of the following conditions that can cause SIADH?
Correct Answer: D
Rationale: Lung cancer, especially small cell type, is a common cause of SIADH due to ectopic antidiuretic hormone production.
Question 4 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 likely, as long bone fractures can release fat globules into the bloodstream, causing respiratory distress and chest pain. VTE, hypovolemic shock, and compartment syndrome present differently.
Question 5 of 5
A nurse is caring for a male client who has chronic glomerulonephritis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Urine specific gravity is a measure of urine concentration. The normal range is typically from 1.005 to 1.030. A specific gravity of 1.035 indicates very concentrated urine, which could be due to dehydration or other factors, but it is not specifically indicative of chronic glomerulonephritis. Serum creatinine is a waste product from the normal breakdown of muscle tissue. Normal levels are approximately 0.6 to 1.2 mg/dL for males. A level of 7 mg/dL is significantly elevated and can indicate severe kidney dysfunction, which is consistent with chronic glomerulonephritis. This condition can lead to a decreased ability of the kidneys to filter waste, causing an accumulation of creatinine in the blood. Creatinine clearance is a test that measures how well creatinine is removed from the blood by the kidneys. The normal range is about 95 to 120 mL/min. A clearance of 120 mL/min is within the normal range and would not typically be expected in a client with chronic glomerulonephritis, as this condition usually results in reduced kidney function. Blood urea nitrogen (BUN) is another waste product filtered by the kidneys. Normal BUN levels are between 7 and 20 mg/dL. A BUN of 15 mg/dL is within the normal range and does not necessarily indicate kidney dysfunction from chronic glomerulonephritis.