ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a chronic wound. Which of the following is a systemic cause of chronic wounds?
Correct Answer: B
Rationale: Malnutrition is indeed a systemic cause of chronic wounds. Adequate nutrition is essential for wound healing, as it provides the necessary proteins, vitamins, and minerals that play a crucial role in the repair process. Protein-energy malnutrition, deficiencies in vitamins C and D, zinc, and other nutrients can impair wound healing and lead to chronic wounds.
Question 2 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.
Question 3 of 5
A nurse is caring for a client who is taking aspirin for arthritis. The nurse should identify which of the following findings as an adverse effect of this medication?
Correct Answer: C
Rationale: Tinnitus is a well-documented adverse effect of aspirin, especially in high doses, due to its impact on inner ear structures. Clay-colored stools suggest biliary issues, nystagmus is unrelated to aspirin, and respiratory depression is not a typical side effect.
Question 4 of 5
A nurse is collecting the medical history from a client who has manifestations of the syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if they have a history of which of the following conditions that can cause SIADH?
Correct Answer: D
Rationale: Lung cancer, especially small cell type, is a common cause of SIADH due to ectopic antidiuretic hormone production.
Question 5 of 5
A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?
Correct Answer: C
Rationale: Oliguria, or low urine output, is an expected finding in hypovolemic shock. As the blood volume decreases, the kidneys receive less blood flow, leading to reduced urine production. This is a protective mechanism to conserve body fluids, but it also indicates the severity of fluid loss and the need for urgent intervention.