ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor?
Correct Answer: D
Rationale: Airway patency is the priority post-thyroidectomy due to the risk of swelling or hematoma causing obstruction. Temperature, urination, and pain control are important but secondary.
Question 2 of 5
A nurse in a provider's office is assessing a client who reports shoulder pain. Which of the following findings by the nurse indicates a rotator cuff injury?
Correct Answer: A
Rationale: The inability to abduct the arm at the shoulder is a classic sign of a rotator cuff injury. The rotator cuff is responsible for stabilizing the shoulder joint and aiding in various movements, including abduction. When there is a tear or significant weakness in the rotator cuff muscles, especially the supraspinatus muscle, the patient may be unable to lift the arm away from the body or may experience pain while doing so. A negative drop arm test would actually indicate that there is no rotator cuff injury. The drop arm test is performed by asking the patient to fully abduct the arm to 90 degrees and then slowly lower it. If the patient can control the motion and lower the arm smoothly, the test is negative. A positive drop arm test, where the patient cannot control the descent of the arm, would suggest a rotator cuff tear. While an alteration in the contour of the joint may indicate some form of shoulder pathology, it is not specific to a rotator cuff injury. Changes in the contour could be due to various conditions, including dislocation, arthritis, or other musculoskeletal disorders. A positive Tinel's sign is used to diagnose nerve compression or nerve damage, not rotator cuff injuries. It is performed by tapping over the course of a nerve to elicit a tingling sensation or pain in the distribution of the nerve. This sign is commonly associated with conditions like carpal tunnel syndrome.
Question 3 of 5
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: Finasteride, a 5-alpha reductase inhibitor, reduces prostate growth in BPH by inhibiting DHT production. Danazol, methyltestosterone, and fluoxymesterone are androgens that could worsen BPH symptoms and are not indicated.
Question 4 of 5
A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?
Correct Answer: D
Rationale: Instructing the client to wiggle his toes is a direct assessment of motor function, a key component of neurovascular status, helping to determine if there is any impairment in nerve function or blood supply to the affected area.
Question 5 of 5
A nurse is educating coworkers about how to minimize back strain and avoid repeated episodes of low back pain. Which of the following strategies should the nurse include? (Select all that apply.)
Correct Answer: A,D,E
Rationale: Avoiding prolonged sitting (
A) reduces pressure on the spine, promoting better posture and reducing strain. Sleeping in a side-lying position with flexed knees (
D) maintains spinal alignment, reducing back stress. Padded shoe insoles (E) improve foot support and body alignment, decreasing back strain. Sleeping on a soft mattress (
B) is incorrect as it may cause spinal misalignment. Applying heat for 10 minutes every hour (
C) is not a standard preventive measure and may not be practical.