ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate? (Select all that apply.)
Correct Answer: B,C
Rationale: Minimizing moisture and elevating heels prevent skin breakdown; massaging red areas, 4-hour turning, and powder use are inappropriate.
Question 2 of 5
A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the following instructions about maintaining skin integrity should the nurse include?
Correct Answer: B
Rationale: Avoiding heat to the irradiated area prevents increased skin irritation and burns.
Question 3 of 5
A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4+ T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?
Correct Answer: C
Rationale: Candidiasis is a common opportunistic infection in HIV/AIDS patients with low CD4+ T-cell counts, causing oral thrush.
Question 4 of 5
A nurse is assessing a client who has a spinal cord injury with heterotopic ossifications. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Arthralgia is expected with heterotopic ossification due to ectopic bone formation near joints.
Question 5 of 5
A nurse is caring for a client who has lung cancer and is scheduled for a lobectomy. The nurse should prepare the client to expect which of the following after the procedure?
Correct Answer: D
Rationale: The placement of a chest tube is a standard part of care following a lobectomy. The chest tube allows for drainage of fluid and air from the pleural space, ensuring proper lung expansion and preventing complications such as pneumothorax. Patients should be educated about the chest tube's purpose, care, and the sensations they may experience while the tube is in place.