ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is observing a newly licensed nurse who is performing a focused skin assessment on a client who reports a skin condition. Which of the following questions by the newly licensed nurse requires intervention?
Correct Answer: C
Rationale: Asking about the emotional impact of a skin condition is appropriate and empathetic, supporting holistic care. Questions about diet, stress, and sleep are also relevant, as they can influence or be affected by skin conditions. The document incorrectly marks C as requiring intervention, but no intervention is needed for any of these questions.
Question 2 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 3 of 5
A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?
Correct Answer: A
Rationale: A high fiber diet does not reduce skin cancer risk, indicating a need for further teaching. Avoiding tanning booths, using sunscreen on cloudy days, and monthly skin checks are correct preventive measures.
Question 4 of 5
A nurse is formulating a teaching plan about herpes zoster for a group of older adults at a community center. The nurse should include which of the following information in the plan?
Correct Answer: A,B,C
Rationale:
Choice A: Herpes zoster lesions are indeed contagious if they are draining. The virus can spread through direct contact with the fluid from the blisters. It is crucial to cover the lesions to prevent spreading the virus to others, especially to those who have never had chickenpox or the vaccine.
Choice B: The development of vesicles, which are small fluid-filled blisters, is a hallmark of herpes zoster. These vesicles typically appear in a band-like pattern on one side of the body and are often accompanied by pain, itching, or tingling before they are visible.
Choice C: Postherpetic neuralgia is a condition where the pain persists in the area of the herpes zoster rash even after the lesions have healed. This can last for weeks, months, or even years and is more common in older adults.
Choice D: Herpes zoster itself is not spread like chickenpox. It occurs when the varicella-zoster virus, which has been lying dormant in the nerve cells, reactivates. While it is possible for someone who has never had chickenpox to develop chickenpox after direct contact with a shingles rash, herpes zoster is not 'easily spread' to others in the same way that chickenpox is.
Question 5 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.