ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
The nurse is performing an assessment on a client with a diagnosis of pernicious anemia. Which finding would the nurse expect to note in this client?
Correct Answer: B
Rationale: A red, smooth, sore tongue is typical in pernicious anemia due to vitamin B12 deficiency affecting epithelial cells. Dusky membranes, shortness of breath, and dyspnea are less specific.
Question 2 of 5
A 30-year-old who is experiencing sickle cell crisis is admitted to the hospital. During the admission assessment, which findings can the nurse attribute to the client's blood disorder?
Correct Answer: C,E
Rationale: Jaundice results from hemolysis, and pain is due to vaso-occlusion in sickle cell crisis. White tongue, nausea, and shortness of breath are less specific to the disorder.
Question 3 of 5
A nurse is reinforcing teaching about breast self-examination (BSE) with a client who has a regular menstrual cycle. The nurse should instruct the client to perform BSE at which of the following times?
Correct Answer: A
Rationale: Three to seven days after menses stops is optimal for BSE as breasts are less swollen or tender, improving detection of abnormalities.
Question 4 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 5 of 5
A nurse is collecting data for a female client who has genital herpes. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: Vesicles and lesions on the labia are characteristic of genital herpes. Urinary symptoms may occur but are secondary, vaginal bleeding is unrelated, and fishy odor suggests bacterial vaginosis.