ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 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 2 of 5
A client with sickle cell anemia has 'Pain related to thrombotic crisis' as a nursing diagnosis. Which of the following is the most appropriate nursing intervention for this diagnosis?
Correct Answer: C
Rationale: Repositioning with proper alignment alleviates pressure and discomfort from thrombotic crisis pain. Education, pulse checks, and ROM are less directly related to acute pain relief.
Question 3 of 5
A nurse is reinforcing teaching to a client who is preparing for a pelvic examination with Papanicolaou (Pap) test. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Emptying the bladder before a pelvic examination allows for better visualization and manipulation of the pelvic organs. Douching can interfere with test results, informed consent is not typically required for a Pap test, and sedation is not used for this procedure.
Question 4 of 5
A nurse is collecting data from a male client who has been exposed to syphilis and has a genital chancre. Which of the following prescriptions should the nurse anticipate when notifying the provider of these findings?
Correct Answer: C
Rationale: The VDRL test is commonly used to screen for syphilis, especially in the presence of a genital chancre. Prostate specific antigen is used to screen for prostate cancer, not for diagnosing syphilis. ELISA can be used to detect antibodies for various infections, but it is not the first-line test for syphilis. Western blot test is more commonly used to confirm HIV infection, not for initial syphilis screening.
Question 5 of 5
In helping prepare a nursing care plan for a 90-pound, 82-year-old woman with iron-deficiency anemia with a hemoglobin of 8.2, the nurse agrees that the most appropriate nursing diagnosis would be:
Correct Answer: A
Rationale: Low hemoglobin causes fatigue, leading to activity intolerance, the most appropriate diagnosis. Body image, anxiety, and tissue integrity are less directly related to anemia.