ATI RN MED SURG 2 PROCTORED EXAM ACTUAL EXAM ALL 70 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

ATI RN MED SURG 2 PROCTORED EXAM 2023-

2024 ACTUAL EXAM ALL 70 QUESTIONS AND

CORRECT DETAILED ANSWERS WITH

RATIONALES (VERIFIED ANSWERS) |ALREADY

GRADED A+

A nurse provides teaching regarding how to relieve discomfort to a

client in her second trimester of pregnancy that is having frequent low

back pain and ankle edema at the end of the day. Which statement made

by the client indicates an understanding of the teaching? - ANSWER-

"When I get home I should lie on the floor, with my legs elevated onto a

couch, and turn my hips and knees at right angles."

Rationale:

Lying on the floor with the legs elevated onto a couch with the hips

and knees at right angles will produce a posture of pelvic tilt while

countering gravity, which is the force that leads to edema of the

lower extremities. Although the other options might seem useful,

remember that heat needs to be prescribed by a health care

provider (HCP). Lying on the left side with the feet dorsiflexed may

help with the reduction of hemorrhoids.

The postpartum unit nurse has provided discharge instructions to a client

planning to breast-feed her normal, healthy infant. Which statement by

the client indicates an understanding of the instructions? - ANSWER- "If

I notice any pain, redness, or swelling in my breasts, I should contact the

health care provider."

Rationale:

Signs of infection include pain, redness, heat, and swelling of a

localized area of the breast. If these symptoms occur, the client

needs to contact the HCP. Options 1, 2, and 3 are normal changes

that occur in the postpartum period.

A clinic nurse is explaining the changes in the integumentary system that

occur during pregnancy to a client and should tell the client that which

change may persist after she gives birth? - ANSWER- Striae gravidarum

Rationale:

Striae gravidarum, or stretch marks, reflect separation within the

underlying connective tissue of the skin. After birth they usually

fade, although they never disappear completely. Options 1, 2, and 3

are incorrect. An epulis is a red, raised nodule on the gums that

bleeds easily. Chloasma, or mask of pregnancy, is a blotchy,

browning hyperpigmentation of the skin over the cheeks, nose, and

forehead and is especially noticed in dark-complexioned pregnant

women. Chloasma usually fades after the birth. Telangiectasias, or

vascular "spiders," are tiny star-shaped or branch-shaped, slightly

raised, and pulsating end arterioles usually found on the neck,

thorax, face, and arms. They occur as a result of elevated levels of

circulating estrogen. The spiders usually disappear after delivery.

A nurse has instructed the client in the correct technique for breast selfexamination (BSE). For a portion of the examination, the client will lie

down. If the client were to examine the right breast, the nurse would tell

the client to place a pillow in which location? - ANSWER- Under the

right shoulder

Rationale:

The nurse would instruct the client to lie down and place a towel or

pillow under the shoulder on the side of the breast to be examined.

If the right breast is to be examined, the pillow would be placed

under the right shoulder, and vice versa. Therefore options 1, 2, and

4 are incorrect.

The nurse is working in an illness prevention clinic. An important

component of the nurse's practice is to advise high-risk clients to receive

an influenza vaccination. Which clients are at high risk for influenza and

would benefit from vaccination? Select all that apply. - ANSWER- 1.A

47-year-old mother of a child with cystic fibrosis

2.A 54-year-old man scheduled for a routine diabetes check.

4.A 35-year-old registered nurse scheduled for an annual pelvic exam

5.An 87-year-old woman from a nursing home scheduled for a surgical

follow-up

Rationale:

Influenza vaccinations are recommended yearly and developed

according to predicted strain for clients at high risk. Influenza

immunization is recommended for high-risk clients. Anyone in close

contact with clients with a chronic respiratory or other chronic

disorder should receive the vaccine. Adults with chronic metabolic

disease such as diabetes mellitus are in the high-risk population.

Residents of chronic care facilities are at risk for influenza. Health

care workers are in the high-risk population. The influenza vaccine

does not treat an active infection with the virus.

The nurse is examining a dark-skinned client for the presence of

petechiae. The nurse will best observe these lesions in which body area?

- ANSWER- Oral mucosa

Rationale:

In a dark-skinned client, petechiae are best observed in the

conjunctivae and oral mucosa. Jaundice would best be noted in the

sclerae of the eye. Cyanosis would be best noted in the palms of the

hands and soles of the feet.

The nurse is caring for a client with a diagnosis of myocardial infarction

(MI) and is assisting the client in completing the diet menu. Which

beverage should the nurse instruct the client to select from the menu? -

ANSWER- Raspberry juice

Rationale:

A client with a diagnosis of MI should not consume caffeinated

beverages. Caffeinated products can produce a vasoconstrictive

effect, leading to further cardiac ischemia. Coffee, tea, and cola all

contain caffeine and need to be avoided in the client with MI.

The nurse in the newborn nursery is determining admission vital signs

for a newborn infant. The nurse documents that the heart rate is within

normal range if which heart rate is noted on assessment? - ANSWER130 beats/min

Rationale:

The normal heart rate for a newborn infant ranges from

approximately 120 to 160 beats/min. Options 1 and 2 indicate

bradycardia. Option 4 indicates tachycardia.

The mother of a 1-month-old infant is bottle-feeding her infant and asks

the nurse about the stomach capacity of an infant. What should the nurse