ATI RN
ATI Medical Surgical 2 Final Exam Questions
Extract:
Question 1 of 5
Which of the following can cause bone marrow suppression?
Correct Answer: C
Rationale: Chemotherapy affects rapidly dividing cells, including bone marrow, causing suppression. Vitamin C, exercise, and most antibiotics do not typically cause this.
Question 2 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 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
A nurse is caring for four postoperative patients who each had a total abdominal hysterectomy. Which patient would the nurse assess first upon initial rounding?
Correct Answer: D
Rationale: Two saturated perineal pads in 2 hours suggest excessive bleeding, possibly hemorrhage, requiring immediate assessment. Mild pain, normal vitals, and adequate urine output are less urgent.
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.