ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 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 2 of 5
Which action will the nurse include in the plan of care for a 72-year-old woman admitted with multiple myeloma?
Correct Answer: A
Rationale: Monitoring fluid intake and output is essential to assess for dehydration or fluid overload due to renal complications in multiple myeloma. The other actions are less relevant.
Question 3 of 5
A nurse in a clinic is caring for a female client who has gonorrhea. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Obtaining sexual partner information is crucial to notify them and prevent gonorrhea spread. Gonorrhea is bacterial, diaphragms do not prevent STIs, and chancres are syphilis-related.
Question 4 of 5
A 55-year-old postmenopausal woman reports a history of dyspareunia, backache, pelvis pressure, urinary tract infections, and a frequent urinary urgency. Which condition does the nurse suspect?
Correct Answer: A
Rationale: A cystocele occurs when the bladder bulges into the vaginal canal, which can cause symptoms such as dyspareunia, backache, pelvic pressure, urinary tract infections, and urinary urgency. Fibroids are benign tumors of the uterus and can cause pelvic pain and pressure, but they are not typically associated with urinary symptoms. Ovarian cysts can cause pelvic pain and pressure but are not usually associated with urinary symptoms like urinary urgency. A rectocele occurs when the rectum bulges into the vaginal canal, which can cause symptoms like dyspareunia and pelvic pressure, but it is more likely to cause constipation than urinary urgency.
Question 5 of 5
Which laboratory test will the nurse use to determine whether filgrastim (Neupogen) is effective for a patient with acute lymphocytic leukemia who is receiving chemotherapy?
Correct Answer: B
Rationale: Filgrastim (Neupogen) is used to increase white blood cells, specifically neutrophils. Monitoring the white blood count (WB
C) and absolute neutrophil count (AN
C) is the appropriate way to determine the effectiveness of the drug. Reticulocyte count measures immature red blood cells, total lymphocyte count focuses on lymphocytes, and platelet count does not directly assess filgrastim's effect.