ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 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 2 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 3 of 5
Which information obtained by the nurse assessing a patient admitted with multiple myeloma is most important to report to the health care provider?
Correct Answer: C
Rationale: Elevated serum calcium levels (hypercalcemia) are a critical complication of multiple myeloma, risking kidney damage, altered mental status, and cardiac arrhythmias, requiring urgent reporting. Bence-Jones protein and back pain are expected, and constipation, while important, is less urgent.
Question 4 of 5
Which of the following disorders is a deficiency of factor VIII?
Correct Answer: A
Rationale: Hemophilia A is caused by a deficiency of factor VIII, leading to problems with blood clotting. Hemophilia B is caused by a deficiency of factor IX, not factor VIII. Christmas disease is another name for Hemophilia B, which is caused by a deficiency of factor IX. Sickle cell disease is a genetic disorder affecting hemoglobin, not a clotting factor deficiency.
Question 5 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.