ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
Which laboratory test will the nurse use to determine whether filgrastim (Neupogen) is effective for a patient with acute lymphocytic leukemia who is receiving chemotherapy?
Correct Answer: B
Rationale: Filgrastim (Neupogen) is used to increase white blood cells, specifically neutrophils. Monitoring the white blood count (WB
C) and absolute neutrophil count (AN
C) is the appropriate way to determine the effectiveness of the drug. Reticulocyte count measures immature red blood cells, total lymphocyte count focuses on lymphocytes, and platelet count does not directly assess filgrastim's effect.
Question 2 of 5
A patient is interested in learning about the risk factors for prostate cancer. Which factors does the nurse include in the teaching?
Correct Answer: A,B,C,E,F
Rationale: Family history, African ancestry, obesity, advanced age, and high red meat consumption are risk factors for prostate cancer. Smoking is less strongly linked.
Question 3 of 5
A nurse is reinforcing teaching about the frequency of breast self-examination (BSE) with a young adult client. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Performing BSE on the first day of each month ensures consistency and ease of remembering, suitable for clients with or without regular cycles.
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 in a clinic is caring for a female client who has gonorrhea. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Obtaining sexual partner information is crucial to notify them and prevent gonorrhea spread. Gonorrhea is bacterial, diaphragms do not prevent STIs, and chancres are syphilis-related.