ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing menopausal symptoms and requests information about hormone replacement therapy (HRT). Which of the following items in the client's health history is a contraindication for hormone replacement therapy?
Correct Answer: D
Rationale: History of breast cancer contraindicates HRT due to the risk of stimulating hormone-sensitive cancer cells. COPD, GERD, and dermatitis are not contraindications.
Question 2 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 3 of 5
A nurse in a provider's office is collecting data from a client who has ovarian cancer. Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: Unexplained weight loss is a common symptom of ovarian cancer due to cancer-related cachexia or decreased appetite. Abdominal bloating is also common but was not the correct answer provided in the document. Diarrhea and urinary retention are less typical.
Question 4 of 5
Which of the following is a characteristic feature of hemophilia?
Correct Answer: A
Rationale: Hemophilia, due to deficient clotting factors, leads to prolonged bleeding and easy bruising. Excessive clotting, increased platelets, and delayed wound healing are not characteristic.
Question 5 of 5
A patient with a history of sickle cell disease is being admitted for sickle cell crisis. Which of the following nursing diagnoses should guide the nurse when providing care for the patient?
Correct Answer: D
Rationale: Ineffective Tissue Perfusion due to vascular occlusion by sickled cells is the primary concern in sickle cell crisis, leading to pain and organ damage.