ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is caring for a male client who has chronic glomerulonephritis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Urine specific gravity is a measure of urine concentration. The normal range is typically from 1.005 to 1.030. A specific gravity of 1.035 indicates very concentrated urine, which could be due to dehydration or other factors, but it is not specifically indicative of chronic glomerulonephritis. Serum creatinine is a waste product from the normal breakdown of muscle tissue. Normal levels are approximately 0.6 to 1.2 mg/dL for males. A level of 7 mg/dL is significantly elevated and can indicate severe kidney dysfunction, which is consistent with chronic glomerulonephritis. This condition can lead to a decreased ability of the kidneys to filter waste, causing an accumulation of creatinine in the blood. Creatinine clearance is a test that measures how well creatinine is removed from the blood by the kidneys. The normal range is about 95 to 120 mL/min. A clearance of 120 mL/min is within the normal range and would not typically be expected in a client with chronic glomerulonephritis, as this condition usually results in reduced kidney function. Blood urea nitrogen (BUN) is another waste product filtered by the kidneys. Normal BUN levels are between 7 and 20 mg/dL. A BUN of 15 mg/dL is within the normal range and does not necessarily indicate kidney dysfunction from chronic glomerulonephritis.
Question 2 of 5
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.)
Correct Answer: B,C,E
Rationale: A weakened gag reflex, hypotension, and absence of bowel sounds are complications of a cervical spinal cord injury. Polyuria is not typically related, and hyperthermia is less common as a direct complication.
Question 3 of 5
A nurse is teaching a group of teenage clients about the use of condoms for the prevention of sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Female condoms are effective in preventing the transmission of sexually transmitted viruses, including HIV, by acting as a barrier to prevent the exchange of bodily fluids during sexual activity. This information empowers individuals with an additional option for protection.
Question 4 of 5
A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications?
Correct Answer: A,B,C
Rationale: Acetaminophen, celecoxib, and ibuprofen are commonly used for pain relief and inflammation in osteoarthritis. Cyclobenzaprine is a muscle relaxant and not typically used for osteoarthritis.
Question 5 of 5
A nurse is discussing the differences between skeletal and skin traction with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding?
Correct Answer: C
Rationale: Skeletal traction is more appropriate for reducing fractures, providing stronger and more stable alignment force.