ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
Correct Answer: D
Rationale: A CD4-T-cell count of 180 cells/mm³ indicates significant immune suppression, guiding treatment and prophylaxis needs.
Question 2 of 5
A nurse is teaching a client who has genital herpes about the physiological effects of the infection. Which of the following statements by the client indicates that the teaching has been effective?
Correct Answer: A
Rationale: Antiviral medications reduce symptoms but do not cure genital herpes, indicating effective teaching.
Question 3 of 5
A nurse is admitting a client to the surgical unit from the Post-Anesthesia Care Unit (PACU) following a cholecystectomy. Which of the following assessments is the nurse's priority?
Correct Answer: B
Rationale: Oxygen saturation is the priority to ensure adequate respiratory function post-anesthesia.
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 is teaching a client who has hepatitis A about preventing the transmission of the virus. Which of the following strategies should the nurse include in the teaching?
Correct Answer: A
Rationale: Effective hand hygiene is critical to prevent hepatitis A transmission, which occurs via the fecal-oral route. Avoiding raw foods or fast food restaurants is less relevant unless contaminated during handling. Barrier protection is not necessary, as hepatitis A is not typically sexually transmitted.