ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is caring for a middle adult client who has just received the diagnosis of endometrial cancer. In taking a nursing history, which of the following manifestations is likely to be reported by this client?
Correct Answer: C
Rationale: Postmenopausal bleeding is a hallmark symptom of endometrial cancer. Any vaginal bleeding that occurs after menopause should be evaluated by a healthcare provider, as it can be an early sign of endometrial cancer. Unilateral swelling on the posterior of the vulva is not typically associated with endometrial cancer. Extreme abdominal pain with intercourse is more related to conditions like endometriosis. Green, malodorous vaginal discharge suggests infection, not endometrial cancer.
Question 2 of 5
A nurse is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client?
Correct Answer: D
Rationale: Methotrexate should be discontinued at least 3 months prior to a planned pregnancy to ensure it is cleared from the body, as it can cause serious birth defects. Reducing the dosage is not safe, as methotrexate is contraindicated in pregnancy. Dietary modifications are not the primary concern, and breastfeeding is not recommended due to potential harm to the infant.
Question 3 of 5
A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The first action should be to check the tubing for kinks, as this is a common and easily correctable cause of obstruction in catheter drainage. Adjusting the irrigant rate or irrigating the catheter may be subsequent steps, and notifying the provider is appropriate only if initial troubleshooting fails.
Question 4 of 5
A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures?
Correct Answer: C
Rationale: Phantom pain is a real phenomenon with physiological underpinnings, not merely psychological, and should be included in preoperative teaching to prepare the patient. Tingling sensations or expectations of pain disappearing soon are not accurate, and pain may not gradually lessen as phantom limb pain can be intense.
Question 5 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.