ATI RN
ATI Nurs 258 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has benign prostatic hypertrophy and has a new prescription for finasteride. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Finasteride can cause sexual side effects, including decreased libido, which is an important adverse effect to communicate to the client.
Question 2 of 5
A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is not recommended due to which of the following findings in the client's medical history?
Correct Answer: B
Rationale: Hormone therapy is contraindicated in clients with a history of breast cancer due to the risk of cancer recurrence.
Question 3 of 5
A client with multiple injuries to the head, chest, and abdomen has had their airway stabilized and is breathing on their own. Which symptom would lead the nurse to suspect internal hemorrhaging even when the nurse does not see any bleeding?
Correct Answer: C
Rationale: Increased abdominal distention can indicate hemoperitoneum, a sign of internal hemorrhaging, as blood accumulates in the abdominal cavity.
Question 4 of 5
A nurse in the emergency department is triaging clients following a mass casualty event. The nurse should identify which of the following clients as emergent?
Correct Answer: D
Rationale: A punctured femoral artery causes severe hemorrhage, requiring immediate intervention.
Question 5 of 5
A nurse is providing teaching to a client who has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for uterine cancer. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Vaginal dryness due to decreased estrogen levels post-surgery can be managed with artificial lubrication.