ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is providing care for an older adult client who has diabetes insipidus (DI). The nurse should monitor the client for which of the following neurological effects?
Correct Answer: C
Rationale: Ataxia, which is a lack of muscle coordination affecting speech, eye movements, the ability to swallow, walking, picking up objects, and other voluntary movements, can be a neurological effect of DI if severe dehydration and electrolyte imbalance affect the brain. Symptoms such as confusion and muscle cramps can also be associated with ataxia, making it a relevant neurological effect to monitor in a client with DI.
Question 2 of 5
A nurse is planning a teaching session about hysterosalpingography for a client who has a diagnosis of infertility. The nurse should include which of the following information in the teaching plan?
Correct Answer: A
Rationale: Hysterosalpingography is scheduled post-menstruation but pre-ovulation to avoid pregnancy, not 5 days prior to menstruation.
Question 3 of 5
A nurse is assessing a client who has a left lower arm fracture.Which of the following findings indicates impaired venous return in the client's affected arm?
Correct Answer: D
Rationale: Increasing edema is a sign of impaired venous return. When veins are unable to effectively return blood to the heart, fluid can accumulate in the tissues, leading to edema. Ecchymosis indicates bleeding or injury but not specifically impaired venous return. Acute pain is expected with a fracture and does not directly suggest venous issues. A bounding distal pulse suggests increased arterial flow, not impaired venous return.
Question 4 of 5
A nurse is caring for several clients at a community clinic. Which of the following clients is most at risk for developing type 2 diabetes mellitus?
Correct Answer: B
Rationale: A 40-year-old client with hypoglycemia is at higher risk for type 2 diabetes, as hypoglycemia can indicate insulin resistance or pre-diabetes, especially with age-related risk factors. Autoimmune disorders are linked to type 1 diabetes, lack of sleep is a weaker predictor, and never giving birth is not a risk factor.
Question 5 of 5
A nurse is assessing a client who has intravenous therapy-related phlebitis. The nurse uses the Infusion Nurses Society's phlebitis scale to assess the severity of phlebitis and documents the client's phlebitis as grade level 1. Which of the following assessment findings correlates with a grade level of 1?
Correct Answer: B
Rationale: Redness at the IV site with pain corresponds to grade 1 phlebitis on the Infusion Nurses Society's scale, indicating mild erythema and possible pain. Purulent drainage, red streaks, and a palpable venous cord indicate more severe grades (2-4).