ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
A 16-year-old is admitted with sickle cell crisis. The patient has a pain scale rating of 10 and the following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4°F. Select all the appropriate nursing interventions for this patient at this time?
Correct Answer: A,B,C,D,E,F
Rationale: All listed interventions are appropriate: removing restrictive clothing promotes comfort, morphine manages severe pain, oxygen addresses low saturation, NPO prepares for potential procedures, IV fluids improve hydration and blood flow, and bed rest conserves energy and reduces complications.
Question 2 of 5
The term 'Leukopenia' is the medical term for which of the following?
Correct Answer: C
Rationale: Leukopenia refers to a low white blood cell count. Anemia is low red blood cells, leukocytosis is high white blood cells, and thrombocytopenia is low platelets.
Question 3 of 5
A patient has received a medication that has caused significant hemolysis. Upon assessment, which of the following would the healthcare provider expect?
Correct Answer: B
Rationale: Jaundice, caused by increased bilirubin from red blood cell breakdown, is a common sign of hemolysis. Decreased serum albumin is unrelated, and increased bilirubin and dark urine, while relevant, are redundant or less specific in the provided options.
Question 4 of 5
What is the primary pathophysiological process that occurs in disseminated intravascular coagulation (DIC)?
Correct Answer: C
Rationale: DIC involves excessive clotting factor activation, leading to widespread clot formation, consuming clotting factors and platelets, and causing bleeding and organ damage.
Question 5 of 5
A nurse is reinforcing teaching to a client who is to undergo a breast biopsy by needle aspiration. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: A well-fitting bra supports the breast and minimizes bruising post-biopsy. Sedation is not used, results take days, and cold packs, not heating pads, reduce swelling.