ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
Which of the following are common manifestations of a sickle cell crisis?
Correct Answer: A,B,G
Rationale: Severe pain, fever, and jaundice are common in sickle cell crisis due to vaso-occlusion, infection risk, and hemolysis. Normal blood counts, clear urine, increased energy, and normal oxygen saturation are not typical.
Question 2 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 3 of 5
Which patient information is most important for the nurse to monitor when evaluating the effectiveness of deferoxamine (Desferal) for a patient with hemochromatosis?
Correct Answer: D
Rationale: Serum iron level is the most direct indicator of iron overload and the effectiveness of deferoxamine in chelating and removing excess iron. Skin color, liver function, and hematocrit are relevant but less specific for evaluating deferoxamine's effectiveness.
Question 4 of 5
A patient with a history of sickle cell disease is being admitted for sickle cell crisis. Which of the following nursing diagnoses should guide the nurse when providing care for the patient?
Correct Answer: D
Rationale: Ineffective Tissue Perfusion due to vascular occlusion by sickled cells is the primary concern in sickle cell crisis, leading to pain and organ damage.
Question 5 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.