ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
What is the priority nursing diagnosis for a client with inadequate production of platelets?
Correct Answer: A
Rationale: Inadequate platelet production increases bleeding risk, making 'Risk for Injury related to increased bleeding tendency' the priority. Infection risk, cardiac output, and gas exchange are less directly related to thrombocytopenia.
Question 2 of 5
A 16-year-old is admitted with sickle cell crisis. The patient has a pain scale rating of 10 and the following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4°F. Select all the appropriate nursing interventions for this patient at this time?
Correct Answer: A,B,C,D,E,F
Rationale: All listed interventions are appropriate: removing restrictive clothing promotes comfort, morphine manages severe pain, oxygen addresses low saturation, NPO prepares for potential procedures, IV fluids improve hydration and blood flow, and bed rest conserves energy and reduces complications.
Question 3 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 4 of 5
Which of the following is a characteristic feature of hemophilia?
Correct Answer: A
Rationale: Hemophilia, due to deficient clotting factors, leads to prolonged bleeding and easy bruising. Excessive clotting, increased platelets, and delayed wound healing are not characteristic.
Question 5 of 5
An 18-year-old male is taking Hydroxyurea for treatment of sickle cell anemia. Which options below indicate this medication is working successfully?
Correct Answer: C,D
Rationale: Hydroxyurea increases fetal hemoglobin, reducing sickling, and decreases the need for transfusions. Hemoglobin S levels are not directly reduced, and diuresis/dehydration are side effects, not indicators of success.