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 radiation therapy to treat lung cancer. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Xerostomia is a common side effect of radiation therapy near salivary glands, impacting speech, eating, and dental health. Generalized urticaria is not typical, and while monitoring hemoglobin and infection is important, they are not specific to radiation therapy effects.
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 is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client?
Correct Answer: D
Rationale: Methotrexate should be discontinued at least 3 months prior to a planned pregnancy to ensure it is cleared from the body, as it can cause serious birth defects. Reducing the dosage is not safe, as methotrexate is contraindicated in pregnancy. Dietary modifications are not the primary concern, and breastfeeding is not recommended due to potential harm to the infant.
Question 4 of 5
A nurse is reviewing risk factors for osteoporosis with a group of nursing students. The nurse should include that which of the following types of medication therapy is a risk factor for osteoporosis?
Correct Answer: A
Rationale: Thyroid hormones (
A), especially in excess, increase bone resorption, leading to bone loss and higher osteoporosis risk. NSAIDs (
B), anticoagulants (
C), and cardiac glycosides (
D) are not strongly linked to osteoporosis, with thyroid hormones having the most significant impact on bone metabolism.
Question 5 of 5
A nurse is assessing a client who has a spinal cord injury with heterotopic ossifications. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Arthralgia is expected with heterotopic ossification due to ectopic bone formation near joints.