ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is 2 hours postoperative following a transurethral resection of the prostate (TURP). The client is receiving continuous bladder irrigation. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: It is common for clients to feel a constant urge to void due to bladder irritation from the catheter and continuous bladder irrigation. Reminding the client that this is normal can alleviate anxiety.
Question 2 of 5
A nurse is caring for a male client who has chronic glomerulonephritis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Urine specific gravity is a measure of urine concentration. The normal range is typically from 1.005 to 1.030. A specific gravity of 1.035 indicates very concentrated urine, which could be due to dehydration or other factors, but it is not specifically indicative of chronic glomerulonephritis. Serum creatinine is a waste product from the normal breakdown of muscle tissue. Normal levels are approximately 0.6 to 1.2 mg/dL for males. A level of 7 mg/dL is significantly elevated and can indicate severe kidney dysfunction, which is consistent with chronic glomerulonephritis. This condition can lead to a decreased ability of the kidneys to filter waste, causing an accumulation of creatinine in the blood. Creatinine clearance is a test that measures how well creatinine is removed from the blood by the kidneys. The normal range is about 95 to 120 mL/min. A clearance of 120 mL/min is within the normal range and would not typically be expected in a client with chronic glomerulonephritis, as this condition usually results in reduced kidney function. Blood urea nitrogen (BUN) is another waste product filtered by the kidneys. Normal BUN levels are between 7 and 20 mg/dL. A BUN of 15 mg/dL is within the normal range and does not necessarily indicate kidney dysfunction from chronic glomerulonephritis.
Question 3 of 5
A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings should the nurse identify as a contraindication to this medication?
Correct Answer: A
Rationale: Morphine is contraindicated in paralytic ileus as it decreases gastrointestinal motility, worsening the condition.
Question 4 of 5
A nurse is teaching a group of teenage clients about the use of condoms for the prevention of sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Female condoms are effective in preventing the transmission of sexually transmitted viruses, including HIV, by acting as a barrier to prevent the exchange of bodily fluids during sexual activity. This information empowers individuals with an additional option for protection.
Question 5 of 5
A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?
Correct Answer: A
Rationale: Inability to move toes is an early sign of a tight cast, indicating nerve or vessel compression. Edema, pallor, and temperature changes may follow but are not typically the first signs.