ATI RN
ATI Nur258 Med Surg 2 Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Clean gloves are appropriate for contact with the client or the wound, as MRSA is transmitted through direct contact. This prevents contamination while assessing the client.
Question 2 of 5
A nurse is caring for a client in the emergent/resuscitative phase of burn injury. During this phase, the nurse should monitor for evidence of what alteration in laboratory values?
Correct Answer: B
Rationale: Increased hematocrit is common in the emergent/resuscitative phase of burn injury due to fluid shifts and loss of plasma volume, leading to hemoconcentration.
Question 3 of 5
A nurse in a healthcare provider's office is providing education to a client who has a new diagnosis of polycystic ovarian syndrome. Which of the following responses by the client indicates that the client understands the teaching?
Correct Answer: D
Rationale: Weight loss can help improve symptoms of polycystic ovarian syndrome (PCOS) by reducing insulin resistance and androgen levels, which are common issues in PCOS.
Question 4 of 5
A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?
Correct Answer: B
Rationale: The depth of the burn is the primary factor in assessing burn severity. It determines the level of tissue damage and guides treatment decisions. Depth classifications include superficial, partial-thickness, and full-thickness burns.
Question 5 of 5
A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache?
Correct Answer: B
Rationale: Increasing fluid intake is effective in managing a headache after a lumbar puncture because it helps replenish cerebrospinal fluid (CSF) and reduces the risk of post-lumbar puncture headache, which often results from CSF leakage.