ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
A patient with a history of sickle cell disease is being admitted for sickle cell crisis. Which of the following nursing diagnoses should guide the nurse when providing care for the patient?
Correct Answer: D
Rationale: Ineffective Tissue Perfusion due to vascular occlusion by sickled cells is the primary concern in sickle cell crisis, leading to pain and organ damage.
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
The nurse is performing an assessment on a client with a diagnosis of pernicious anemia. Which finding would the nurse expect to note in this client?
Correct Answer: B
Rationale: A red, smooth, sore tongue is typical in pernicious anemia due to vitamin B12 deficiency affecting epithelial cells. Dusky membranes, shortness of breath, and dyspnea are less specific.
Question 4 of 5
Which information obtained by the nurse assessing a patient admitted with multiple myeloma is most important to report to the health care provider?
Correct Answer: C
Rationale: Elevated serum calcium levels (hypercalcemia) are a critical complication of multiple myeloma, risking kidney damage, altered mental status, and cardiac arrhythmias, requiring urgent reporting. Bence-Jones protein and back pain are expected, and constipation, while important, is less urgent.
Question 5 of 5
Which of the following can cause bone marrow suppression?
Correct Answer: C
Rationale: Chemotherapy affects rapidly dividing cells, including bone marrow, causing suppression. Vitamin C, exercise, and most antibiotics do not typically cause this.