ATI RN
ATI Nur201 FA2 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client post-thyroidectomy that is showing clinical manifestations of hypocalcemia. Which of the following would the nurse expect to find during the assessment?
Correct Answer: D
Rationale: Positive Chvostek's sign, elicited by facial muscle twitching when tapping the facial nerve, indicates hypocalcemia.
Question 2 of 5
The nurse is assessing a client who is experiencing an acute episode of cholecystitis. Which of these clinical manifestations support this diagnosis?
Correct Answer: A
Rationale: Right upper quadrant pain is a common clinical manifestation of cholecystitis, which is inflammation of the gallbladder. The pain is often severe and can radiate to the back or shoulder.
Question 3 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 4 of 5
The nurse is caring for a client scheduled for a bilateral adrenalectomy for treatment of an adrenal tumor. What information should the nurse give the client about the post-surgical needs?
Correct Answer: D
Rationale: After a bilateral adrenalectomy, the client will need daily hormone replacement medications for life, as the adrenal glands produce essential hormones like cortisol and aldosterone.
Question 5 of 5
The nurse is teaching a client with newly diagnosed asthma. Which instructions should the nurse include to reduce the likelihood of an asthma attack? (Select all that apply)
Correct Answer: A,B,C
Rationale: Avoiding smoking, calling 911 for red zone peak flow readings, and washing bedclothes in hot water are effective measures to reduce asthma attacks. Smoking and dust mites are triggers, and red zone readings indicate severe obstruction. Air fresheners can irritate airways, and inhalers are typically used 15-30 minutes before exercise.