ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?
Correct Answer: A
Rationale: Nausea and vomiting (
A) are common signs of peritonitis due to peritoneal inflammation. Hyperactive bowel sounds (
B) are unlikely, as peritonitis often reduces bowel activity. Bradycardia (
C) is not typical; tachycardia is more common. Increased urinary output (
D) is unrelated, as peritonitis affects the peritoneal cavity, not the urinary system.
Question 2 of 5
A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?
Correct Answer: C
Rationale: Performing a neurovascular assessment is the priority to detect compromised blood flow or nerve injury.
Question 3 of 5
The nurse is caring for a client who has prostate cancer. Which of the following manifestations does the nurse attribute to the advancing disease process?
Correct Answer: A
Rationale: Blood in the urine (hematuria) or semen (hematospermia) can be a sign of advanced prostate cancer. This symptom occurs when the cancer affects the urinary or reproductive tracts, causing bleeding. It is a direct result of the tumor invading nearby tissues or structures. While anemia can be associated with chronic diseases like cancer, it is not a direct manifestation of the advancing disease process of prostate cancer. Anemia in cancer patients is often multifactorial, including chronic inflammation, nutritional deficiencies, or treatment-related side effects. A dark-colored or elevated lesion is not typically associated with prostate cancer. Such lesions are more commonly related to skin cancers or other dermatological conditions. An enlarged liver or gallbladder can be a sign of metastasis in advanced cancer cases, including prostate cancer. However, it is less specific than blood in the urine or semen and can be caused by a variety of other conditions.
Question 4 of 5
A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor?
Correct Answer: D
Rationale: Airway patency is the priority post-thyroidectomy due to the risk of swelling or hematoma causing obstruction. Temperature, urination, and pain control are important but secondary.
Question 5 of 5
A nurse is planning to teach a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Encouraging fluid intake post-IVP helps flush out contrast dye, reducing kidney risks. Diet resumption depends on provider instructions, IVP uses X-rays not sound waves, and red blood cells in urinalysis do not typically cancel the procedure.