ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has a new diagnosis of testicular cancer. Which of the following statements should the nurse include in the teaching?
Correct Answer: B,C
Rationale: Close male relatives have a higher risk due to genetic factors, and testicular cancer typically occurs between ages 15 to 40. Scrotal warmth/redness is not typical, it usually affects one testicle, and impotence is not a common post-orchiectomy outcome.
Question 2 of 5
A nurse in a provider's office is collecting data from a client who has ovarian cancer. Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: Unexplained weight loss is a common symptom of ovarian cancer due to cancer-related cachexia or decreased appetite. Abdominal bloating is also common but was not the correct answer provided in the document. Diarrhea and urinary retention are less typical.
Question 3 of 5
Which patient information is most important for the nurse to monitor when evaluating the effectiveness of deferoxamine (Desferal) for a patient with hemochromatosis?
Correct Answer: D
Rationale: Serum iron level is the most direct indicator of iron overload and the effectiveness of deferoxamine in chelating and removing excess iron. Skin color, liver function, and hematocrit are relevant but less specific for evaluating deferoxamine's effectiveness.
Question 4 of 5
A nurse is reinforcing teaching with a middle adult female client who has fibrocystic breast disease. The nurse should emphasize to the client that manifestations of this disease are present at which of the following times?
Correct Answer: B
Rationale: Manifestations of fibrocystic breast disease, such as breast pain and lumpiness, tend to occur or worsen in the premenstrual phase due to hormonal changes. Weather conditions do not affect these manifestations.
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.