ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is menopausal and asks the nurse about the use of herbal therapies to reduce her discomfort. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Many herbal products lack long-term safety and efficacy testing, a critical point for informed use.
Question 2 of 5
A nurse is caring for a group of critically ill clients. Which of the following clients are exhibiting potential manifestations of sepsis? (Select all that apply)
Correct Answer: B,C
Rationale:
Choice A: A temperature of 37.2°C (99°F) is slightly elevated but not necessarily indicative of sepsis. A heart rate of 88/min is within normal limits (60-100/min). This client's signs do not strongly suggest sepsis.
Choice B: A heart rate of 132/min and a respiratory rate of 30/min are both elevated, which can be signs of sepsis. Sepsis can cause an increase in heart rate (tachycardia) and respiratory rate (tachypnea) as the body attempts to maintain adequate blood flow and oxygenation during a systemic infection.
Choice C: A decrease in the level of consciousness combined with a heart rate greater than 130/min could indicate sepsis, as confusion or changes in mental status are common symptoms when the body is fighting a severe infection.
Choice D: Bradypnea, or abnormally slow breathing, is not typically associated with sepsis, which more commonly causes rapid breathing. A WBC count of 10,000/mm^3 is at the upper limit of the normal range and does not necessarily indicate sepsis without other symptoms.
Choice E: A temperature of 36°C (96.8°F) is on the lower end of the normal body temperature range and does not suggest fever, which is a common sign of sepsis. A respiratory rate of 16/min is within the normal range (12-20/min) and does not indicate sepsis.
Question 3 of 5
A nurse is caring for a client who has fibrocystic breasts. The client asks the nurse, 'What will happen to my fibrocystic breast changes after menopause?' Which of the following statements is an appropriate response by the nurse?
Correct Answer: D
Rationale: The most appropriate response is that the manifestations usually go away after menopause. Fibrocystic breast changes are linked to hormonal fluctuations, and after menopause, when these fluctuations cease, the symptoms of fibrocystic breasts typically resolve.
Question 4 of 5
A nurse is caring for a client with a new diagnosis of Paget's disease. The nurse anticipates the provider will prescribe which of the following medications for this client?
Correct Answer: A
Rationale: Alendronate, a bisphosphonate, is commonly prescribed for Paget's disease to regulate bone growth by inhibiting osteoclasts. Colchicine and allopurinol are used for gout, and prednisone, while sometimes used for inflammation, is not a primary treatment for Paget's disease.
Question 5 of 5
A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is not recommended due to which of the following findings in the client's medical history?
Correct Answer: B
Rationale: A history of breast cancer is a contraindication for hormone therapy due to the risk of stimulating hormone receptor-positive cancers. GERD, COPD, and dermatitis are not contraindications for HT.