ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is assessing a client who reports a nevus that has increased in size and an irregularly shaped lesion that varies in color. These findings are consistent with which of the following medical diagnoses?
Correct Answer: B
Rationale: Malignant melanoma is characterized by changing nevi with size increase and color variation.
Question 2 of 5
A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and is unable to move independently. The nurse should monitor for which of the following complications of immobility?
Correct Answer: A
Rationale: A reddened area over the sacrum indicates potential pressure ulcer development, a common complication of immobility. Hearing difficulties are unrelated, stiffness is a longer-term issue, and upper extremity movement issues are likely due to the stroke itself.
Question 3 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 4 of 5
A nurse is caring for a client who is receiving cisplatin for the treatment of ovarian cancer. The client's most recent complete blood count (CBC) is shown in the table below. It is important for the nurse to consider which of the following for the client?
Correct Answer: C
Rationale: The client's WBC count of 1,400/mm^3 indicates leukopenia, significantly increasing infection risk. Hemoglobin (12.1 g/dL) and albumin (4.5 g/dL) are normal, so erythropoiesis-stimulating agents or increased protein diet are not indicated. Platelet count (170,000/mm^3) is normal, so bleeding risk is not elevated.
Question 5 of 5
During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest. The lesion is raised and flesh-colored with pearly white borders. The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?
Correct Answer: B
Rationale: Basal cell carcinoma often appears as a raised, pearly bump, matching the description of a flesh-colored lesion with pearly white borders.