ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is providing breast self-examination teaching to a client who is menopausal. Which of the following statements should the nurse identify as an indication that the teaching was effective? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale:
Choice A: This statement is correct because the underarm area (axilla) contains lymph nodes that can be affected by breast cancer. Including the underarm area in a breast self-exam helps in detecting any unusual lumps or changes that could indicate a problem.
Choice B: This statement is correct because using firm pressure during a breast self-exam helps to feel the deeper tissues of the breast, which is essential for detecting any abnormalities or lumps that might be present.
Choice C: This statement is correct because performing a breast self-exam in the shower is a common and effective method. The wet and slippery skin makes it easier to feel for any changes or lumps in the breast tissue.
Choice D: This statement is incorrect because it is normal to feel a firm ridge in the lower curve of the breast. This ridge is part of the normal breast anatomy and does not necessarily indicate a problem.
Choice E: This statement is correct because menopausal women do not have menstrual cycles to guide the timing of their breast self-exams.
Therefore, they can choose any consistent day each month to perform the exam.
Question 2 of 5
A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?
Correct Answer: C
Rationale: Chvostek's sign is a clinical sign of neuromuscular irritability seen in hypocalcemia, which can occur after thyroid surgery due to parathyroid gland damage.
Question 3 of 5
A nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Xerostomia is a common side effect of radiation therapy near salivary glands, impacting speech, eating, and dental health. Generalized urticaria is not typical, and while monitoring hemoglobin and infection is important, they are not specific to radiation therapy effects.
Question 4 of 5
A nurse is educating a client who has osteoarthritis of the knee. Which of the following explanations should the nurse give to the client as part of the disease process?
Correct Answer: A
Rationale: Osteoarthritis involves progressive cartilage and bone damage, a key aspect of the disease process.
Question 5 of 5
A nurse is caring for several clients at a community clinic. Which of the following clients is most at risk for developing type 2 diabetes mellitus?
Correct Answer: B
Rationale: A 40-year-old client with hypoglycemia is at higher risk for type 2 diabetes, as hypoglycemia can indicate insulin resistance or pre-diabetes, especially with age-related risk factors. Autoimmune disorders are linked to type 1 diabetes, lack of sleep is a weaker predictor, and never giving birth is not a risk factor.