ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is providing teaching for a client who is preparing for a below-the-knee amputation. Which of the following statements is true regarding the postoperative placement of a prosthesis?
Correct Answer: B
Rationale: Clients need to do special exercises to strengthen the remaining limb and prepare for prosthesis use, which is essential for rehabilitation. Prostheses are not adjustable for different shoes, as they are custom-made. Fitting occurs after healing, not during surgery. Dressings are for healing, not prosthesis cushioning.
Question 2 of 5
A nurse is assessing a client who has a fluid volume deficit. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: Increased BUN is expected in fluid volume deficit due to decreased renal perfusion, leading to higher solute concentration. Hemoglobin may appear elevated due to hemoconcentration, not decreased. Urine ketones relate to ketoacidosis or starvation, not fluid deficit. Urine specific gravity increases as the body conserves water, not decreases.
Question 3 of 5
A nurse is caring for a 68-kg (150-lb) client who has dehydration. Which of the following manifestations is an indication of effective treatment?
Correct Answer: C
Rationale: Urine output of 75 mL in 1 hr is within the normal range for an adult (0.5 to 1 mL/kg/hr), indicating that the kidneys are functioning and the body is excreting waste, suggesting effective rehydration.
Question 4 of 5
A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?
Correct Answer: C
Rationale: Chvostek's sign is a clinical sign of neuromuscular irritability seen in hypocalcemia, which can occur after thyroid surgery due to parathyroid gland damage.
Question 5 of 5
A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is not recommended due to which of the following findings in the client's medical history?
Correct Answer: B
Rationale: A history of breast cancer is a contraindication for hormone therapy due to the risk of stimulating hormone receptor-positive cancers. GERD, COPD, and dermatitis are not contraindications for HT.