ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
Which of the following statements about HIPAA indicates a need for further teaching?
Correct Answer: C
Rationale: The statement 'Information about a client can be disclosed to family members at any time' is incorrect. Under HIPAA, protected health information can only be disclosed to family members under specific conditions, such as with patient permission or when relevant to their involvement in the patient's care.
Question 2 of 5
A nurse is assessing a client who has a rotator cuff injury. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Difficulty with abduction of the arm at the shoulder is a common finding in clients with a rotator cuff injury. The rotator cuff is a group of muscles and tendons that stabilize the shoulder joint and facilitate its movement. When these muscles or tendons are injured, movements such as lifting the arm away from the body (abduction) can become painful and difficult.
Question 3 of 5
A nurse is providing teaching to a client about the manifestations of uterine prolapse. Which of the following statements by the client should indicate to the nurse a need for further teaching?
Correct Answer: D
Rationale: Feces in the vagina is not a direct symptom of uterine prolapse but may relate to a rectocele, indicating a need for further teaching.
Question 4 of 5
A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the following instructions about maintaining skin integrity should the nurse include?
Correct Answer: B
Rationale: Avoiding heat to the irradiated area prevents increased skin irritation and burns, making this the correct instruction.
Question 5 of 5
A nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate? (Select all that apply.)
Correct Answer: B,C
Rationale: Minimizing moisture and elevating heels prevent skin breakdown; massaging red areas, 4-hour turning, and powder use are inappropriate.