ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has hepatitis A about preventing the transmission of the virus. Which of the following strategies should the nurse include in the teaching?
Correct Answer: A
Rationale: Effective hand hygiene is critical to prevent hepatitis A transmission, which occurs via the fecal-oral route. Avoiding raw foods or fast food restaurants is less relevant unless contaminated during handling. Barrier protection is not necessary, as hepatitis A is not typically sexually transmitted.
Question 2 of 5
A nurse is educating a client who was recently diagnosed with cancer and tells the nurse they are worried about infertility following radiation treatment. Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: Radiation shielding techniques can protect reproductive organs from radiation exposure, reducing infertility risk. Chemotherapy also affects fertility, fertility medications are not a direct solution, and surgery does not address radiation-induced infertility.
Question 3 of 5
A nurse is caring for a client who has multiple long bone fractures caused by a motor-vehicle crash that happened 24 hours ago. The client tells the nurse he is short of breath and is experiencing chest pain. The nurse should assess the client further for which of the following potential complications?
Correct Answer: D
Rationale: Fat embolism syndrome is a serious complication following long bone fractures, where fat globules enter the bloodstream and cause respiratory distress and chest pain.
Question 4 of 5
A nurse is assessing the reflexes of a client who has an unrepaired femur fracture and has suddenly become stuporous. For which of the following findings should the nurse identify that the client exhibits Babinski's sign?
Correct Answer: A
Rationale: A positive Babinski's sign in adults, indicated by dorsiflexion of the great toe, suggests neurological dysfunction, possibly from a complication like fat embolism.
Question 5 of 5
A nurse is caring for a client with a new diagnosis of Paget's disease. The nurse anticipates the provider will prescribe which of the following medications for this client?
Correct Answer: A
Rationale: Alendronate, a bisphosphonate, is commonly prescribed for Paget's disease to regulate bone growth by inhibiting osteoclasts. Colchicine and allopurinol are used for gout, and prednisone, while sometimes used for inflammation, is not a primary treatment for Paget's disease.