ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest. The lesion is raised and flesh-colored with pearly white borders. The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?
Correct Answer: B
Rationale: Basal cell carcinoma often appears as a raised, pearly bump, matching the description of a flesh-colored lesion with pearly white borders.
Question 2 of 5
A nurse is caring for a client who is receiving cisplatin for the treatment of ovarian cancer. The client's most recent complete blood count (CBC) is shown in the table below. It is important for the nurse to consider which of the following for the client?
Correct Answer: C
Rationale: The client's WBC count of 1,400/mm^3 indicates leukopenia, significantly increasing infection risk. Hemoglobin (12.1 g/dL) and albumin (4.5 g/dL) are normal, so erythropoiesis-stimulating agents or increased protein diet are not indicated. Platelet count (170,000/mm^3) is normal, so bleeding risk is not elevated.
Question 3 of 5
A nurse is teaching a group of teenage clients about the use of condoms for the prevention of sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Female condoms are effective in preventing the transmission of sexually transmitted viruses, including HIV, by acting as a barrier to prevent the exchange of bodily fluids during sexual activity. This information empowers individuals with an additional option for protection.
Question 4 of 5
A nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Xerostomia is a common side effect of radiation therapy near salivary glands, impacting speech, eating, and dental health. Generalized urticaria is not typical, and while monitoring hemoglobin and infection is important, they are not specific to radiation therapy effects.
Question 5 of 5
A nurse is assessing a client at a dermatology clinic. Which of the following findings places the client at risk for developing malignant melanoma?
Correct Answer: C
Rationale: Chronic skin irritation or inflammation can increase the risk of melanoma by contributing to DNA damage.