ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 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 2 of 5
A nurse is educating coworkers about how to minimize back strain and avoid repeated episodes of low back pain. Which of the following strategies should the nurse include? (Select all that apply.)
Correct Answer: A,D,E
Rationale: Avoiding prolonged sitting (
A) reduces pressure on the spine, promoting better posture and reducing strain. Sleeping in a side-lying position with flexed knees (
D) maintains spinal alignment, reducing back stress. Padded shoe insoles (E) improve foot support and body alignment, decreasing back strain. Sleeping on a soft mattress (
B) is incorrect as it may cause spinal misalignment. Applying heat for 10 minutes every hour (
C) is not a standard preventive measure and may not be practical.
Question 3 of 5
A nurse in a provider's office is assessing a client who has wrist pain. Which of the following findings is a manifestation of carpal tunnel syndrome?
Correct Answer: D
Rationale: Phalen's sign is a diagnostic test for CTS. The test is performed by having the patient flex their wrist maximally and hold the position for about 60 seconds. A positive Phalen's sign, which includes numbness and tingling in the thumb, index finger, middle finger, and the radial half of the ring finger, is indicative of CTS. This occurs due to increased pressure on the median nerve when the wrist is in flexion.
Question 4 of 5
A nurse is providing teaching to a client who has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for uterine cancer. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Artificial lubrication helps manage vaginal dryness post-surgery due to decreased estrogen levels.
Question 5 of 5
A nurse is assessing a client who has intravenous therapy-related phlebitis. The nurse uses the Infusion Nurses Society's phlebitis scale to assess the severity of phlebitis and documents the client's phlebitis as grade level 1. Which of the following assessment findings correlates with a grade level of 1?
Correct Answer: B
Rationale: Redness at the IV site with pain corresponds to grade 1 phlebitis on the Infusion Nurses Society's scale, indicating mild erythema and possible pain. Purulent drainage, red streaks, and a palpable venous cord indicate more severe grades (2-4).