Questions 129

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ATI RN Test Bank

ATI Medical Surgical 2 Final 2024 Assessment Questions

Extract:


Question 1 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.

Question 2 of 5

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

Correct Answer: D

Rationale: A CD4-T-cell count of 180 cells/mm³ indicates significant immune suppression, guiding treatment and prophylaxis needs.

Question 3 of 5

A nurse is teaching a client who has a pelvic fracture about the manifestations of fat embolism syndrome. The nurse should include which of the following findings as an early manifestation?

Correct Answer: C

Rationale: Tachypnea, or rapid breathing, is an early manifestation of fat embolism syndrome. This condition occurs when fat globules are released into the bloodstream, often following a fracture, and can obstruct pulmonary vessels, leading to respiratory distress. Tachypnea is a critical early sign as the body attempts to compensate for reduced oxygenation.

Question 4 of 5

A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: The first action should be to check the tubing for kinks, as this is a common and easily correctable cause of obstruction in catheter drainage. Adjusting the irrigant rate or irrigating the catheter may be subsequent steps, and notifying the provider is appropriate only if initial troubleshooting fails.

Question 5 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.

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