ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is educating a client who was recently diagnosed with cancer and tells the nurse they are worried about infertility following radiation treatment. Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: Radiation shielding techniques can protect reproductive organs from radiation exposure, reducing infertility risk. Chemotherapy also affects fertility, fertility medications are not a direct solution, and surgery does not address radiation-induced infertility.
Question 2 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.
Question 3 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 4 of 5
A nurse in a provider's office is assessing a client who has wrist pain. Which of the following findings is a manifestation of carpal tunnel syndrome?
Correct Answer: D
Rationale: Phalen's sign is a diagnostic test for CTS. The test is performed by having the patient flex their wrist maximally and hold the position for about 60 seconds. A positive Phalen's sign, which includes numbness and tingling in the thumb, index finger, middle finger, and the radial half of the ring finger, is indicative of CTS. This occurs due to increased pressure on the median nerve when the wrist is in flexion.
Question 5 of 5
A nurse is caring for a client who is scheduled for abdominal surgery. Which of the following nursing interventions should the nurse include in the preoperative education?
Correct Answer: D
Rationale: Providing instructions on how to cough and deep breathe effectively is a critical component of preoperative education for clients undergoing abdominal surgery. Effective coughing and deep breathing exercises help prevent postoperative complications such as pneumonia and atelectasis by promoting lung expansion and secretion clearance.