ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is creating the plan of care for a client who is immunosuppressed. Which of the following precautions should the nurse include in the plan? (Select all that apply.)
Correct Answer: A,B,E
Rationale: Instructing the client to eat cooked foods, restricting visitors with active infections, and donning protective gear are necessary precautions to protect an immunosuppressed client from infections.
Question 2 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 3 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 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. Ecchymosis indicates bleeding or injury but not specifically impaired venous return. Acute pain is expected with a fracture and does not directly suggest venous issues. A bounding distal pulse suggests increased arterial flow, not impaired venous return.
Question 4 of 5
The nurse is planning preoperative care for a client who has a fractured wrist. Which of the following should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: Preoperative diazepam reduces anxiety and facilitates anesthesia induction, appropriate for wrist fracture surgery.
Question 5 of 5
A nurse is assessing a client who has intravenous therapy-related phlebitis. The nurse uses the Infusion Nurses Society's phlebitis scale to assess the severity of phlebitis and documents the client's phlebitis as grade level 1. Which of the following assessment findings correlates with a grade level of 1?
Correct Answer: B
Rationale: Redness at the IV site with pain corresponds to grade 1 phlebitis on the Infusion Nurses Society's scale, indicating mild erythema and possible pain. Purulent drainage, red streaks, and a palpable venous cord indicate more severe grades (2-4).