ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
A 30-year-old who is experiencing sickle cell crisis is admitted to the hospital. During the admission assessment, which findings can the nurse attribute to the client's blood disorder?
Correct Answer: C,E
Rationale: Jaundice results from hemolysis, and pain is due to vaso-occlusion in sickle cell crisis. White tongue, nausea, and shortness of breath are less specific to the disorder.
Question 2 of 5
The part of the female reproductive cycle that begins at the end of menses and ends at ovulation is:
Correct Answer: C
Rationale: The follicular phase begins at the end of menses and ends at ovulation, during which follicles mature. Menopause is cessation of menstruation, menarche is its onset, and the luteal phase follows ovulation.
Question 3 of 5
What is the priority nursing diagnosis for a client with inadequate production of platelets?
Correct Answer: A
Rationale: Inadequate platelet production increases bleeding risk, making 'Risk for Injury related to increased bleeding tendency' the priority. Infection risk, cardiac output, and gas exchange are less directly related to thrombocytopenia.
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 caring for a client who is experiencing menopausal symptoms and requests information about hormone replacement therapy (HRT). Which of the following items in the client's health history is a contraindication for hormone replacement therapy?
Correct Answer: D
Rationale: History of breast cancer contraindicates HRT due to the risk of stimulating hormone-sensitive cancer cells. COPD, GERD, and dermatitis are not contraindications.