ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The first action should be to check the tubing for kinks, as this is a common and easily correctable cause of obstruction in catheter drainage. Adjusting the irrigant rate or irrigating the catheter may be subsequent steps, and notifying the provider is appropriate only if initial troubleshooting fails.
Question 2 of 5
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: Finasteride, a 5-alpha reductase inhibitor, reduces prostate growth in BPH by inhibiting DHT production. Danazol, methyltestosterone, and fluoxymesterone are androgens that could worsen BPH symptoms and are not indicated.
Question 3 of 5
A nurse is caring for a client who has lung cancer and is scheduled for a lobectomy. The nurse should prepare the client to expect which of the following after the procedure?
Correct Answer: D
Rationale: The placement of a chest tube is a standard part of care following a lobectomy. The chest tube allows for drainage of fluid and air from the pleural space, ensuring proper lung expansion and preventing complications such as pneumothorax. Patients should be educated about the chest tube's purpose, care, and the sensations they may experience while the tube is in place.
Question 4 of 5
A nurse is assessing a client who has a fluid volume deficit. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: Increased BUN is expected in fluid volume deficit due to decreased renal perfusion, leading to higher solute concentration. Hemoglobin may appear elevated due to hemoconcentration, not decreased. Urine ketones relate to ketoacidosis or starvation, not fluid deficit. Urine specific gravity increases as the body conserves water, not decreases.
Question 5 of 5
A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the following instructions about maintaining skin integrity should the nurse include?
Correct Answer: B
Rationale: Avoiding heat to the irradiated area prevents increased skin irritation and burns.