ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
A nurse is collecting data for a female client who has genital herpes. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: Vesicles and lesions on the labia are characteristic of genital herpes. Urinary symptoms may occur but are secondary, vaginal bleeding is unrelated, and fishy odor suggests bacterial vaginosis.
Question 2 of 5
Which laboratory test will the nurse use to determine whether filgrastim (Neupogen) is effective for a patient with acute lymphocytic leukemia who is receiving chemotherapy?
Correct Answer: B
Rationale: Filgrastim (Neupogen) is used to increase white blood cells, specifically neutrophils. Monitoring the white blood count (WB
C) and absolute neutrophil count (AN
C) is the appropriate way to determine the effectiveness of the drug. Reticulocyte count measures immature red blood cells, total lymphocyte count focuses on lymphocytes, and platelet count does not directly assess filgrastim's effect.
Question 3 of 5
A nurse is reinforcing teaching about breast self-examination (BSE) with a client who has a regular menstrual cycle. The nurse should instruct the client to perform BSE at which of the following times?
Correct Answer: A
Rationale: Three to seven days after menses stops is optimal for BSE as breasts are less swollen or tender, improving detection of abnormalities.
Question 4 of 5
A nurse in a provider's office is collecting data for a 45-year-old client who is having manifestations associated with perimenopause. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Vaginal dryness is common in perimenopause due to decreased estrogen. Hypertension, urinary retention, and sustained elevated temperature are not typical.
Question 5 of 5
Which information obtained by the nurse assessing a patient admitted with multiple myeloma is most important to report to the health care provider?
Correct Answer: C
Rationale: Elevated serum calcium levels (hypercalcemia) are a critical complication of multiple myeloma, risking kidney damage, altered mental status, and cardiac arrhythmias, requiring urgent reporting. Bence-Jones protein and back pain are expected, and constipation, while important, is less urgent.