ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 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 2 of 5
A nurse is providing teaching to a client who has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for uterine cancer. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Artificial lubrication helps manage vaginal dryness post-surgery due to decreased estrogen levels.
Question 3 of 5
A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor?
Correct Answer: D
Rationale: Airway patency is the priority post-thyroidectomy due to the risk of swelling or hematoma causing obstruction. Temperature, urination, and pain control are important but secondary.
Question 4 of 5
A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Addison's disease is indeed caused by the lack of production of hormones by the adrenal glands, particularly cortisol and aldosterone. Aldosterone helps to maintain blood pressure and the balance of sodium and potassium in the blood. When the adrenal glands do not produce enough aldosterone, it can lead to symptoms such as low blood pressure and salt cravings, which are characteristic of Addison's disease.
Question 5 of 5
A nurse is reviewing the medical record of a male client who has chlamydia. Which of the following factors contribute to the client's risk of chlamydia? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Multiple sexual partners increase exposure risk. Men who have sex with men (MSM) have a higher risk due to prevalence and transmission factors. Being male is a risk factor in the context of MSM behavior. Race and age (37) are not direct risk factors for chlamydia.