Questions 69

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ATI RN Test Bank

ATI Medical Surgical 2 Final Exam Questions

Extract:


Question 1 of 5

Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?

Correct Answer: B

Rationale: Calf swelling and pain may indicate deep vein thrombosis, a serious complication requiring urgent attention. Plethora, elevated platelets, and high hematocrit are expected in polycythemia vera.

Question 2 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 3 of 5

A nurse is providing teaching about dietary supplements to a client who has erectile dysfunction and has been prescribed nitroglycerin. Which of the following statements is the most important for the nurse to include in the teaching?

Correct Answer: D

Rationale: Dietary supplements, like those for erectile dysfunction, can interact with nitroglycerin, causing severe hypotension, making this the most critical teaching point.

Question 4 of 5

A nurse is reinforcing discharge teaching with a client who had a total abdominal hysterectomy and a vaginal repair. Which of the following statements by the client indicates a need for further teaching?

Correct Answer: C

Rationale: Taking a tub bath can increase infection risk post-hysterectomy due to unhealed incisions. Using lubricants, ceasing periods, and increasing protein/vitamin C are appropriate.

Question 5 of 5

A nurse is reinforcing teaching to a client who is to undergo a breast biopsy by needle aspiration. Which of the following statements should the nurse make?

Correct Answer: D

Rationale: A well-fitting bra supports the breast and minimizes bruising post-biopsy. Sedation is not used, results take days, and cold packs, not heating pads, reduce swelling.

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