ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is planning to teach a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Encouraging fluid intake post-IVP helps flush out contrast dye, reducing kidney risks. Diet resumption depends on provider instructions, IVP uses X-rays not sound waves, and red blood cells in urinalysis do not typically cancel the procedure.
Question 2 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 3 of 5
A nurse is reviewing the medical records of clients on a hospital floor. Which client would the nurse expect is most at risk for hyperthyroidism?
Correct Answer: C
Rationale: Graves' disease is the most common cause of hyperthyroidism, an autoimmune disorder causing the thyroid gland to produce excessive thyroid hormone, making a client with this condition most at risk.
Question 4 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.
Question 5 of 5
A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?
Correct Answer: A
Rationale: Burn location is the priority, as burns to the face, neck, and upper extremities can compromise airway, respiratory function, or mobility. Age, cause, and medical history are relevant but secondary to immediate severity assessment based on location and depth.