ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
A patient has received a medication that has caused significant hemolysis. Upon assessment, which of the following would the healthcare provider expect?
Correct Answer: B
Rationale: Jaundice, caused by increased bilirubin from red blood cell breakdown, is a common sign of hemolysis. Decreased serum albumin is unrelated, and increased bilirubin and dark urine, while relevant, are redundant or less specific in the provided options.
Question 2 of 5
What is the priority nursing diagnosis for a client with inadequate production of platelets?
Correct Answer: A
Rationale: Inadequate platelet production increases bleeding risk, making 'Risk for Injury related to increased bleeding tendency' the priority. Infection risk, cardiac output, and gas exchange are less directly related to thrombocytopenia.
Question 3 of 5
Blood loss is a major cause of iron deficiency in adults. Some sources of chronic blood loss in adults are all except:
Correct Answer: C
Rationale: Loss of intrinsic factor causes pernicious anemia, not iron deficiency. Gastrointestinal, peptic ulcer, and genitourinary bleeding are common causes of chronic blood loss leading to iron deficiency.
Question 4 of 5
Which of the following are common manifestations of a sickle cell crisis?
Correct Answer: A,B,G
Rationale: Severe pain, fever, and jaundice are common in sickle cell crisis due to vaso-occlusion, infection risk, and hemolysis. Normal blood counts, clear urine, increased energy, and normal oxygen saturation are not typical.
Question 5 of 5
A client with sickle cell anemia has 'Pain related to thrombotic crisis' as a nursing diagnosis. Which of the following is the most appropriate nursing intervention for this diagnosis?
Correct Answer: C
Rationale: Repositioning with proper alignment alleviates pressure and discomfort from thrombotic crisis pain. Education, pulse checks, and ROM are less directly related to acute pain relief.