ATI nur 242 Med Surg Exam

Question 1 of 5

A nurse is creating the plan of care for a client who is immunosuppressed. Which of the following precautions should the nurse include in the plan?

A. Instruct the client to eat cooked foods only.B. Don a mask, gloves, and gown.C. Restrict visitors who have active infections.D. Dispose of all linen in the trash after use.E. Limit the client from bathing daily.

Correct Answer: A,B,C

Rationale: Immunosuppressed clients are at increased risk for infections from foodborne pathogens, requiring cooked foods . Wearing PPE protects both client and provider from pathogen transmission. Restricting infected visitors minimizes exposure. Disposing linen in trash is not standard; linens require proper laundering. Limiting bathing is unnecessary as regular hygiene prevents infections.

Question 2 of 5

A nurse is planning to assign tasks for a group of clients. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)?

A. Weigh a client who has heart failure.B. Provide discharge instructions for a client who has a new skin graft.C. Perform an admission assessment on a client.D. Ambulate an older adult client who has hypertension.E. Check a blood product with another nurse prior to administration.

Correct Answer: A,D

Rationale: Weighing a client is a routine, non-invasive task suitable for APs. Ambulating a client is within AP scope to promote mobility. Discharge instructions and admission assessments require nursing judgment, unsuitable for APs. Checking blood products is a critical task for licensed nurses.

Question 3 of 5

A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings is the highest priority for the nurse to report to the provider?

A. Joint pain in hands and knees.B. Dry, raised rash on the face.C. Client report of feelings of depression.D. Presence of peripheral edema.

Correct Answer: D

Rationale: Peripheral edema may indicate renal or cardiac involvement in SLE, which is life-threatening and requires urgent reporting. Joint pain and rash are common but less urgent. Depression is serious but not an immediate physical threat.

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?

A. Monitor the client's hydration status.B. Encourage the client to engage in physical activities.C. Administer medications as prescribed.D. Educate the client on dietary needs.

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.

Question 5 of 5

A nurse is teaching a group of middle adult clients about early detection of cancer. The nurse should include the American Cancer Society recommendation that men and women at average risk should have which of the following screening tests?

A. Cervical cancer screening recommended for people with a cervix beginning at age 21.B. People who never smoked or want to smoke should discuss lung cancer screening with a doctor.C. Colorectal cancer screening recommended for everyone beginning at age 50.D. Colorectal cancer screening recommended for everyone beginning at age 45.

Correct Answer: D

Rationale: Colorectal cancer screening at age 45 aligns with updated ACS guidelines for average-risk adults. Cervical screening is specific to those with a cervix. Lung screening targets smokers. Age 50 is outdated.

ATI nur 242 Med Surg Exam | Nurselytic

Nurselytic

ATI RN

ATI RN