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 has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication?
Correct Answer: B
Rationale: Erythrocyte sedimentation rate (ESR) measures inflammation and is used to assess RA severity. A decrease in ESR indicates aspirin's effectiveness in reducing inflammation. ANA and RF are diagnostic, not monitoring, tests, and WBC count is not specific to aspirin's effects.
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 assessing a client who has Paget's disease of the bone. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale:
Choice A: Cold extremities are not a typical symptom associated with Paget's disease of the bone. This condition usually does not affect the temperature of the limbs directly.
Choice B: Skeletal pain is a common symptom in Paget's disease due to the abnormal bone remodeling process. The affected bones may become painful, especially in the pelvis, spine, skull, and long bones.
Choice C: Visual loss can occur if Paget's disease affects the skull, leading to increased pressure on the nerves associated with vision. This pressure can result in visual impairment or loss.
Choice D: Cranial enlargement is a possible finding in Paget's disease when the skull is involved. The abnormal bone growth can cause the skull to increase in size.
Choice E: An abnormal gait may develop if Paget's disease affects the legs, causing the bones to bow and leading to difficulty walking.
Question 4 of 5
A nurse is assessing a client who has a left lower arm fracture. Which of the following findings indicates impaired venous return in the client's affected arm?
Correct Answer: D
Rationale: Increasing edema in the affected arm is a sign of impaired venous return. When veins are unable to effectively return blood to the heart, fluid can accumulate in the tissues, leading to edema.
Question 5 of 5
A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: Elevated BUN (45 mg/dL) and creatinine (8 mg/dL) indicate impaired kidney function in CKD, as the kidneys fail to filter these waste products. Normal or low values (choices A, C,
D) are not typical for CKD, where accumulation of urea and creatinine is expected.