ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who had a femoral head fracture 24 hours ago and is in skin traction. The client reports shortness of breath and dyspnea. The nurse should suspect that the client has developed which of the following complications?
Correct Answer: D
Rationale: Fat embolism syndrome is a serious condition that occurs when fat globules enter the bloodstream and lodge within the pulmonary vasculature, leading to respiratory distress. It is a known complication following long bone fractures, such as the femur, and presents with symptoms like shortness of breath, hypoxemia, and neurological manifestations. Given the recent femoral head fracture and the symptoms reported, fat embolism syndrome is the most likely diagnosis.
Question 2 of 5
A nurse is assessing a client who is being admitted from the Post-Anesthesia Care Unit (PACU) following an abdominal hysterectomy. Which of the following assessments is the nurse's priority?
Correct Answer: B
Rationale: Oxygen saturation is the priority to ensure adequate oxygenation post-anesthesia, preventing respiratory complications.
Question 3 of 5
A nurse is teaching a client who is scheduled for a colposcopy tomorrow. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: A biopsy may be performed during a colposcopy if abnormal areas are seen, a key teaching point.
Question 4 of 5
A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings should the nurse identify as a contraindication to this medication?
Correct Answer: A
Rationale: Morphine is contraindicated in paralytic ileus as it decreases gastrointestinal motility, worsening the condition.
Question 5 of 5
A nurse is caring for a client who has erectile dysfunction. Which of the following lab tests should the nurse expect will be ordered to evaluate this client?
Correct Answer: A,B,D,E
Rationale: TSH levels can affect sexual function. Both hyperthyroidism and hypothyroidism can lead to ED. Diabetes mellitus is a common cause of ED. High blood glucose levels can damage blood vessels and nerves that control erection. Low testosterone levels can lead to a decrease in sexual desire and ED. High cholesterol can lead to atherosclerosis, which can impede blood flow to the penis and cause ED.