ATI RN
ATI Nur201 FA2 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
While assessing an older adult client, the nurse notes that the client has old and new ecchymotic areas on the extremities and buttocks upon admission. The client states to the nurse in confidence that the family members frequently hit him. Which therapeutic statement should the nurse communicate in response?
Correct Answer: B
Rationale: Reporting the abuse is a legal and ethical responsibility for healthcare providers. Ensuring the client's safety and providing necessary interventions to stop the abuse is paramount.
Question 2 of 5
During an emergency code situation, a primary healthcare provider about to defibrillate a client diagnosed with ventricular fibrillation says in a loud voice, 'CLEAR!' Which action should the nurse implement immediately?
Correct Answer: B
Rationale:
Stepping away from the bed and ensuring others have done the same prevents accidental electrical shock during defibrillation.
Question 3 of 5
A client diagnosed with Parkinson's disease is struggling to adjust to the condition. The nurse educates the family on supporting the client with activities of daily living. Which statement by the family indicates that the teaching was effective?
Correct Answer: C
Rationale: Encouraging and praising the client's efforts to carry out activities of daily living is essential for promoting their independence and self-esteem. Positive reinforcement helps motivate the client.
Question 4 of 5
The nurse identifies the client exhibiting supraventricular tachycardia and calls the provider. Several orders are given. For which of the following orders would the nurse request further clarification? (Select all that apply)
Correct Answer: A,B,D
Rationale: Defibrillation is not typically indicated for SVT unless the patient is unresponsive, Cardizem is not given subcutaneously, and Adenosine is not administered orally. These orders require clarification.
Question 5 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.