ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
A patient with alcoholic liver disease has severe anemia. Which of the following explains the development of anemia in this particular patient?
Correct Answer: A
Rationale: Alcohol directly suppresses erythropoiesis in the bone marrow, leading to anemia. Folate deficiency, clotting factor reduction, blood loss from ulcers, and inflammation may contribute but are not the primary mechanisms in alcoholic liver disease.
Question 2 of 5
A nurse is caring for a client who is experiencing menopausal symptoms and requests information about hormone replacement therapy (HRT). Which of the following items in the client's health history is a contraindication for hormone replacement therapy?
Correct Answer: D
Rationale: History of breast cancer contraindicates HRT due to the risk of stimulating hormone-sensitive cancer cells. COPD, GERD, and dermatitis are not contraindications.
Question 3 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 4 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 5 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.