ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
A patient is admitted to determine why red blood cells are being quickly destructed in the body. What finding should the nurse associate with this patient's health problem?
Correct Answer: C
Rationale: Jaundice, due to bilirubin buildup from red blood cell destruction, is associated with hemolytic anemia. Clotting, cyanosis, and bleeding are unrelated.
Question 2 of 5
A nurse is reinforcing discharge teaching with a client who had a total abdominal hysterectomy and a vaginal repair. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Taking a tub bath can increase infection risk post-hysterectomy due to unhealed incisions. Using lubricants, ceasing periods, and increasing protein/vitamin C are appropriate.
Question 3 of 5
A nurse is reinforcing breast self-examination (BSE) teaching with a client who is menopausal. Which of the following statements by the client indicate an understanding of the teaching?
Correct Answer: A,B,D,E
Rationale: These statements reflect correct BSE techniques: checking underarms, flexible timing post-menopause, shower exams, and using fingertips. Pressing too firmly can cause discomfort and is unnecessary.
Question 4 of 5
In helping prepare a nursing care plan for a 90-pound, 82-year-old woman with iron-deficiency anemia with a hemoglobin of 8.2, the nurse agrees that the most appropriate nursing diagnosis would be:
Correct Answer: A
Rationale: Low hemoglobin causes fatigue, leading to activity intolerance, the most appropriate diagnosis. Body image, anxiety, and tissue integrity are less directly related to anemia.
Question 5 of 5
A patient is admitted to determine why red blood cells are being quickly destructed in the body. What finding should the nurse associate with this patient's health problem?
Correct Answer: C
Rationale: Jaundice, due to bilirubin buildup from red blood cell destruction, is associated with hemolytic anemia. Clotting, cyanosis, and bleeding are unrelated.