ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
A nurse in a provider's office is reinforcing teaching to a client who is at high risk for ovarian cancer. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Pelvic exams can help detect ovarian cancer or pelvic abnormalities, though not always definitive. The other statements are incorrect: BRCA1 increases risk but does not guarantee cancer, Pap tests screen for cervical cancer, and elevated CA125 levels, not decreased, are associated with ovarian cancer.
Question 2 of 5
The patient, age 28, is admitted with complaints of nausea, sore tongue, tingling of the hands, and difficulty swallowing. Upon examination, her tongue is erythematous. What diagnostic procedure will support this diagnosis?
Correct Answer: A
Rationale: The Schilling test assesses vitamin B12 absorption, supporting a diagnosis of pernicious anemia, which matches the symptoms of nausea, sore red tongue, and neurological issues.
Question 3 of 5
A school nurse is reinforcing teaching to a group of teenage clients about prevention of sexually transmitted infections (STIs). Which of the following practices is the most effective form of protection to include in the teaching?
Correct Answer: A
Rationale: Latex condoms, when used consistently and correctly, are highly effective in reducing STI transmission. Other measures are helpful but less effective overall.
Question 4 of 5
A nurse is collecting data from a male client who has been exposed to syphilis and has a genital chancre. Which of the following prescriptions should the nurse anticipate when notifying the provider of these findings?
Correct Answer: C
Rationale: The VDRL test is commonly used to screen for syphilis, especially in the presence of a genital chancre. Prostate specific antigen is used to screen for prostate cancer, not for diagnosing syphilis. ELISA can be used to detect antibodies for various infections, but it is not the first-line test for syphilis. Western blot test is more commonly used to confirm HIV infection, not for initial syphilis screening.
Question 5 of 5
A patient is interested in learning about the risk factors for prostate cancer. Which factors does the nurse include in the teaching?
Correct Answer: A,B,C,E,F
Rationale: Family history, African ancestry, obesity, advanced age, and high red meat consumption are risk factors for prostate cancer. Smoking is less strongly linked.