ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is assessing a client at a dermatology clinic. Which of the following findings places the client at risk for developing malignant melanoma?
Correct Answer: C
Rationale: Chronic skin irritation or inflammation can increase the risk of melanoma by contributing to DNA damage.
Question 2 of 5
A nurse is reviewing the medical records of clients on a hospital floor. Which client would the nurse expect is most at risk for hyperthyroidism?
Correct Answer: C
Rationale: Graves' disease is the most common cause of hyperthyroidism, an autoimmune disorder causing the thyroid gland to produce excessive thyroid hormone, making a client with this condition most at risk.
Question 3 of 5
A nurse is caring for a client who has erectile dysfunction. Which of the following lab tests should the nurse expect will be ordered to evaluate this client?
Correct Answer: A,B,D,E
Rationale: TSH levels can affect sexual function. Both hyperthyroidism and hypothyroidism can lead to ED. Diabetes mellitus is a common cause of ED. High blood glucose levels can damage blood vessels and nerves that control erection. Low testosterone levels can lead to a decrease in sexual desire and ED. High cholesterol can lead to atherosclerosis, which can impede blood flow to the penis and cause ED.
Question 4 of 5
A nurse is assessing the reflexes of a client who has an unrepaired femur fracture and has suddenly become stuporous. For which of the following findings should the nurse identify that the client exhibits Babinski's sign?
Correct Answer: A
Rationale: A positive Babinski's sign in adults, indicated by dorsiflexion of the great toe, suggests neurological dysfunction, possibly from a complication like fat embolism.
Question 5 of 5
A nurse is formulating a teaching plan about herpes zoster for a group of older adults at a community center. The nurse should include which of the following information in the plan?
Correct Answer: A,B,C
Rationale:
Choice A: Herpes zoster lesions are indeed contagious if they are draining. The virus can spread through direct contact with the fluid from the blisters. It is crucial to cover the lesions to prevent spreading the virus to others, especially to those who have never had chickenpox or the vaccine.
Choice B: The development of vesicles, which are small fluid-filled blisters, is a hallmark of herpes zoster. These vesicles typically appear in a band-like pattern on one side of the body and are often accompanied by pain, itching, or tingling before they are visible.
Choice C: Postherpetic neuralgia is a condition where the pain persists in the area of the herpes zoster rash even after the lesions have healed. This can last for weeks, months, or even years and is more common in older adults.
Choice D: Herpes zoster itself is not spread like chickenpox. It occurs when the varicella-zoster virus, which has been lying dormant in the nerve cells, reactivates. While it is possible for someone who has never had chickenpox to develop chickenpox after direct contact with a shingles rash, herpes zoster is not 'easily spread' to others in the same way that chickenpox is.