ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory data of a client following a hemodialysis treatment. The nurse should expect to find a decrease in which of the following laboratory values?
Correct Answer: C
Rationale: Hemodialysis removes excess potassium, which is critical in renal failure to prevent cardiac complications. RBC count, calcium, and protein levels are not primarily targeted by dialysis.
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 preparing a client for surgery. Which of the following is a priority when completing an assessment preoperatively?
Correct Answer: C
Rationale: Identifying possible surgical risks is the priority in a preoperative assessment to plan safe surgical care and make informed decisions about proceeding with the surgery.
Question 4 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 5 of 5
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?
Correct Answer: A
Rationale: Nausea and vomiting (
A) are common signs of peritonitis due to peritoneal inflammation. Hyperactive bowel sounds (
B) are unlikely, as peritonitis often reduces bowel activity. Bradycardia (
C) is not typical; tachycardia is more common. Increased urinary output (
D) is unrelated, as peritonitis affects the peritoneal cavity, not the urinary system.