ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
Which information obtained by the nurse assessing a patient admitted with multiple myeloma is most important to report to the health care provider?
Correct Answer: C
Rationale: Elevated serum calcium levels (hypercalcemia) are a critical complication of multiple myeloma, risking kidney damage, altered mental status, and cardiac arrhythmias, requiring urgent reporting. Bence-Jones protein and back pain are expected, and constipation, while important, is less urgent.
Question 2 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 3 of 5
A nurse is caring for a client who is experiencing menopausal changes and requests information about the use of herbal therapies to relieve her discomfort. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: This statement acknowledges the client's interest in herbal therapies while providing important information about potential risks due to limited long-term testing. The other options are either overly dismissive, inaccurate, or provide unqualified endorsements.
Question 4 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 5 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.