ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
A client with a history of ovarian cysts is seen by the primary health care provider (PHCP). The client has had 2 previous surgeries related to this condition. Her PHCP recommends an exploratory laparoscopic procedure for the current ovarian cyst, which has persisted for several months. The client states that the prior ovarian cysts were benign and questions the need for this procedure. Which response is best for the nurse to provide?
Correct Answer: B
Rationale: This response validates the client's feelings and opens a dialogue for further discussion, allowing the client to express her concerns and receive appropriate information and support. The other options either cause unnecessary fear, dismiss the client's concerns, or fail to encourage open discussion.
Question 2 of 5
A nurse manager in a health clinic is discussing complications associated with sexually transmitted infections (STIs) with a newly licensed nurse. Which of the following statements should be included in the discussion?
Correct Answer: C
Rationale: Human papillomavirus is a known risk factor for cervical cancer. Herpes simplex does not typically cause pelvic inflammatory disease, syphilis complications include congenital issues but not low birth weight, and chlamydia in males causes epididymitis, not meningitis.
Question 3 of 5
A mother brings in her 8-month-old child to the ER. The mother reports the baby has recently started being extremely fussy, has a fever, and swelling in the hands and feet. The child is diagnosed with sickle cell disease. As the nurse, you know that the swelling in the hands and feet in the infant is termed?
Correct Answer: B
Rationale: Dactylitis is a common manifestation of sickle cell disease in infants, characterized by painful swelling of the hands and feet due to vaso-occlusive episodes. The other terms do not accurately describe this condition.
Question 4 of 5
A nurse is caring for a client who has advanced stage prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?
Correct Answer: B
Rationale: Leuprolide, a GnRH agonist, is commonly used in advanced prostate cancer to reduce testosterone levels, slowing cancer growth. Tamoxifen is used for breast cancer, cyclophosphamide is a chemotherapy drug not specific to prostate cancer, and finasteride treats benign prostatic hyperplasia, not advanced prostate cancer.
Question 5 of 5
A nurse is reinforcing breast self-examination (BSE) teaching with a client who is menopausal. Which of the following statements by the client indicate an understanding of the teaching?
Correct Answer: A,B,D,E
Rationale: These statements reflect correct BSE techniques: checking underarms, flexible timing post-menopause, shower exams, and using fingertips. Pressing too firmly can cause discomfort and is unnecessary.