ATI RN
ATI Nur201 FA2 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
The charge nurse observes a nurse performing interventions for a client who has just arrived in the post-anesthesia care unit following right cataract removal and intraocular lens implantation. Which intervention would require the charge nurse to intervene?
Correct Answer: D
Rationale: Encouraging the client to exercise with 20 lb weights one day post-operatively is inappropriate and requires the charge nurse to intervene. Strenuous activity can increase intraocular pressure and compromise the healing process after cataract surgery. The client should avoid heavy lifting and follow the post-operative care instructions provided by the healthcare team.
Question 2 of 5
The nurse in the medical ICU suspects that the client is experiencing a thyroid storm. Which clinical manifestations should the nurse anticipate?
Correct Answer: D
Rationale: High fever, severe tachycardia, and hypertension are classic manifestations of thyroid storm, reflecting severe hyperthyroidism.
Question 3 of 5
A nurse is monitoring a client post-hypophysectomy. Which assessment finding is most important to report to the health care provider?
Correct Answer: C
Rationale: Persistent nasal drainage following hypophysectomy could indicate a cerebrospinal fluid (CSF) leak, which is a serious complication requiring immediate medical attention.
Question 4 of 5
A nurse evaluates a client who presents to the provider's office to assess multiple nevi. Which finding should the nurse highlight to the provider as a possible sign of malignancy?
Correct Answer: B
Rationale: Changes in a mole's shape and size are classic warning signs of melanoma, a type of skin cancer. Moles that become asymmetrical, have irregular borders, vary in color, grow in diameter, or evolve over time need to be evaluated by a healthcare provider.
Question 5 of 5
A nurse is caring for a client following cataract surgery. Which comment from the client should the nurse report to the client's health care provider IMMEDIATELY?
Correct Answer: D
Rationale: Severe eye pain that the client cannot stand is a potential sign of a serious complication, such as increased intraocular pressure, infection, or other postoperative issues. This requires immediate attention.