ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for four postoperative patients who each had a total abdominal hysterectomy. Which patient would the nurse assess first upon initial rounding?
Correct Answer: D
Rationale: Two saturated perineal pads in 2 hours suggest excessive bleeding, possibly hemorrhage, requiring immediate assessment. Mild pain, normal vitals, and adequate urine output are less urgent.
Question 2 of 5
A nurse is collecting data from a male client who has been exposed to syphilis and has a genital chancre. Which of the following prescriptions should the nurse anticipate when notifying the provider of these findings?
Correct Answer: C
Rationale: The VDRL test is commonly used to screen for syphilis, especially in the presence of a genital chancre. Prostate specific antigen is used to screen for prostate cancer, not for diagnosing syphilis. ELISA can be used to detect antibodies for various infections, but it is not the first-line test for syphilis. Western blot test is more commonly used to confirm HIV infection, not for initial syphilis screening.
Question 3 of 5
During an outpatient well visit with a patient who has sickle cell anemia, you make it PRIORITY to assess the patient's?
Correct Answer: D
Rationale: Vaccination history is critical for sickle cell anemia patients due to increased infection risk, particularly from encapsulated bacteria, making it the priority assessment.
Question 4 of 5
Which of the following disorders is a deficiency of factor VIII?
Correct Answer: A
Rationale: Hemophilia A is caused by a deficiency of factor VIII, leading to problems with blood clotting. Hemophilia B is caused by a deficiency of factor IX, not factor VIII. Christmas disease is another name for Hemophilia B, which is caused by a deficiency of factor IX. Sickle cell disease is a genetic disorder affecting hemoglobin, not a clotting factor deficiency.
Question 5 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.