ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
During an outpatient well visit with a patient who has sickle cell anemia, you make it PRIORITY to assess the patient's?
Correct Answer: D
Rationale: Vaccination history is critical for sickle cell anemia patients due to increased infection risk, particularly from encapsulated bacteria, making it the priority assessment.
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
What is the primary pathophysiological process that occurs in disseminated intravascular coagulation (DIC)?
Correct Answer: C
Rationale: DIC involves excessive clotting factor activation, leading to widespread clot formation, consuming clotting factors and platelets, and causing bleeding and organ damage.
Question 4 of 5
A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client to report?
Correct Answer: A
Rationale: Abnormal vaginal bleeding, especially postmenopausal, is the most common symptom of endometrial cancer. Urinary infections, hot flashes, and blood in stool are unrelated.
Question 5 of 5
A nurse is reinforcing teaching with a client who has a new diagnosis of testicular cancer. Which of the following statements should the nurse include in the teaching?
Correct Answer: B,C
Rationale: Close male relatives have a higher risk due to genetic factors, and testicular cancer typically occurs between ages 15 to 40. Scrotal warmth/redness is not typical, it usually affects one testicle, and impotence is not a common post-orchiectomy outcome.