ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?
Correct Answer: A
Rationale: A high fiber diet does not reduce skin cancer risk, indicating a need for further teaching. Avoiding tanning booths, using sunscreen on cloudy days, and monthly skin checks are correct preventive measures.
Question 2 of 5
The nurse is planning preoperative care for a client who has a fractured wrist. Which of the following should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: Preoperative diazepam reduces anxiety and facilitates anesthesia induction, appropriate for wrist fracture surgery.
Question 3 of 5
The nurse is caring for a client who has prostate cancer. Which of the following manifestations does the nurse attribute to the advancing disease process?
Correct Answer: A
Rationale: Blood in the urine (hematuria) or semen (hematospermia) can be a sign of advanced prostate cancer. This symptom occurs when the cancer affects the urinary or reproductive tracts, causing bleeding. It is a direct result of the tumor invading nearby tissues or structures. While anemia can be associated with chronic diseases like cancer, it is not a direct manifestation of the advancing disease process of prostate cancer. Anemia in cancer patients is often multifactorial, including chronic inflammation, nutritional deficiencies, or treatment-related side effects. A dark-colored or elevated lesion is not typically associated with prostate cancer. Such lesions are more commonly related to skin cancers or other dermatological conditions. An enlarged liver or gallbladder can be a sign of metastasis in advanced cancer cases, including prostate cancer. However, it is less specific than blood in the urine or semen and can be caused by a variety of other conditions.
Question 4 of 5
A nurse has received a report on a group of clients. Which of the following clients should the nurse assess first?
Correct Answer: D
Rationale: A client with a stroke reporting severe headache and confusion may have increased intracranial pressure or hemorrhage, requiring immediate assessment.
Question 5 of 5
A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications?
Correct Answer: A,B,C
Rationale: Acetaminophen, celecoxib, and ibuprofen are commonly used for pain relief and inflammation in osteoarthritis. Cyclobenzaprine is a muscle relaxant and not typically used for osteoarthritis.