ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is caring for a client whose throat culture is positive for group A streptococcus 24 hours after a rapid strep test (RST) was negative. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Notifying the client to return for antibiotic therapy is the priority, as group A streptococcus requires prompt treatment to prevent complications. Gargling, contact tracing, and fever management are secondary to initiating antibiotics.
Question 2 of 5
A nurse is caring for a client who is postoperative following an open reduction internal fixation (ORIF) of a femur fracture. Which of the following parameters should the nurse include in the evaluation of the neurovascular status of the client's affected extremity?
Correct Answer: A,C,D
Rationale: Monitoring the temperature of the affected extremity is crucial in evaluating neurovascular status. A cool or cold extremity can indicate decreased perfusion, which may be a sign of neurovascular compromise. Assessing the color of the extremity is essential. Pallor or cyanosis can indicate poor blood flow or oxygenation, which are critical signs of neurovascular impairment. Evaluating sensation helps determine if there is any nerve damage or impairment. Changes in sensation, such as numbness or tingling, can indicate neurovascular compromise.
Question 3 of 5
A nurse is educating a client who was recently diagnosed with cancer and tells the nurse they are worried about infertility following radiation treatment. Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: Radiation shielding techniques can protect reproductive organs from radiation exposure, reducing infertility risk. Chemotherapy also affects fertility, fertility medications are not a direct solution, and surgery does not address radiation-induced infertility.
Question 4 of 5
A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?
Correct Answer: A
Rationale: Inability to move toes is an early sign of a tight cast, indicating nerve or vessel compression. Edema, pallor, and temperature changes may follow but are not typically the first signs.
Question 5 of 5
A nurse is caring for a client who has a spinal cord injury and suspects the client is developing autonomic dysreflexia. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Placing the client in a sitting position, or elevating the head of the bed to at least 45 degrees, is the first and most critical action when autonomic dysreflexia is suspected. This position helps to lower blood pressure by promoting venous return to the heart and can prevent complications such as stroke from the sudden hypertension associated with autonomic dysreflexia.