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: Malignant melanoma typically presents as a mole that changes in color, size, or feel and has irregular edges. It may also itch, ooze, or bleed. A raised, flesh-colored lesion with pearly white borders is not characteristic of malignant melanoma. Basal cell carcinoma often appears as a raised, pearly bump, sometimes with visible blood vessels, which may have a central depression. The description of the lesion as raised, flesh-colored with pearly white borders aligns with the common presentation of basal cell carcinoma. Squamous cell carcinoma usually presents as a firm, red nodule, or a flat lesion with a scaly, crusted surface. The lesion described does not match the typical appearance of squamous cell carcinoma. Actinic keratosis is characterized by rough, scaly patches on sun-exposed areas of the skin, which may be precancerous. They are not typically described as raised, flesh-colored lesions with pearly borders.
Question 2 of 5
A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse that the client's peristalsis is returning?
Correct Answer: D
Rationale: The passage of flatus is a clear sign that peristalsis is returning, indicating that gas is moving through the intestines.
Question 3 of 5
A nurse is discussing the differences between skeletal and skin traction with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding?
Correct Answer: C
Rationale: Skeletal traction is more appropriate for reducing fractures, providing stronger and more stable alignment force.
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 teaching a group of newly licensed nurses on effective techniques for counseling clients about sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: Asking about past or present STI exposure is essential for assessing risk and tailoring prevention and treatment strategies.