ATI RN
ATI nur 242 Med Surg Exam Questions
Question 1 of 5
A nurse is providing discharge teaching to a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: SPF 30 sunblock prevents SLE flares due to photosensitivity. Powder irritates skin. Strong shampoo is irrelevant. Moisturizers are beneficial.
Question 2 of 5
Edema is a hallmark sign of SIADH caused by fluid shifts into the extracellular space. Clinical manifestations include concentrated urine output and overhydration. A patient is recovering from a lung resection because of malignant bronchogenic small cell carcinoma. His serum sodium is 120 mEq/L and SIADH is suspected. Which statement is accurate regarding SIADH?
Correct Answer: B
Rationale: SIADH involves excessive ADH from the posterior pituitary , causing hyponatremia. Rapid sodium correction risks neurological damage. Urine is concentrated, not diluted . Sodium decreases, not rises .
Question 3 of 5
A nurse is reviewing a client's CBC findings and discovers that the client's platelet count is 9,000/mm³. The nurse should monitor the client for which of the following conditions?
Correct Answer: B
Rationale: A platelet count of 9,000/mm³ increases spontaneous bleeding risk due to impaired clotting. Reflexes , oliguria , and infection are not directly related.
Question 4 of 5
A nurse is caring for an older client on a medical-surgical unit. Which of the following interventions should be included in the plan of care?
Correct Answer: A
Rationale: Monitoring hydration status is critical for older adults to prevent dehydration-related complications. Physical activities may not always be safe. Medication administration is standard, not specific to older adults. Dietary education is secondary to immediate hydration needs.
Extract:
History and Physical
Vital signs
Nurse’s Notes
Diagnostic Results
The client is a 60-year-old female diagnosed with Stage III breast cancer and undergoing chemotherapy with docetaxel. She has a history of hypertension and no known drug allergies. The client presents with a 2-day history of headache, muscle aches, fever, sore throat, and fatigue. Her last chemotherapy session was 10 days ago, and she has been feeling increasingly fatigued in the last week.
A nurse is caring for a 60-year-old female client in the oncology unit who is currently receiving chemotherapy for breast cancer. The client presents with a recent onset of symptoms, and the nurse must evaluate the best actions to take based on the exhibits provided.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B,C,D
Rationale: Private room and mask protect against infection in immunosuppression. Fluid intake manages symptoms. Contact precautions are unnecessary. Antibiotics need provider orders.