ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
A 78-year-old client is admitted to the Emergency Department (ED) with numbness and weakness of the right arm and slurred speech. Which nursing intervention is a priority?
Correct Answer: B
Rationale: A STAT CT scan is critical to diagnose the cause of neurological symptoms (e.g., stroke), guiding time-sensitive treatment decisions.
Question 2 of 5
Which initial assessment finding(s) would the nurse expect in a client diagnosed with acute lymphocytic leukemia (ALL)?
Correct Answer: A
Rationale: Thrombocytopenia in ALL leads to petechiae and epistaxis due to low platelet counts, common initial findings at diagnosis.
Question 3 of 5
The nurse is assessing a client diagnosed with late-stage ovarian cancer. Which assessment finding is related to advanced stage ovarian cancer?
Correct Answer: A
Rationale: Ascites, fluid accumulation in the abdomen, is common in advanced ovarian cancer due to tumor spread to abdominal organs.
Question 4 of 5
The nurse is developing a discharge plan about home care for a client diagnosed with multiple myeloma. The nurse should emphasize which of the following? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D,E
Rationale: A: Fluid intake prevents dehydration and kidney issues. C: Fragrance-free soap reduces skin irritation risk. D: Analgesics manage bone pain. E: Grab bars prevent falls due to weakened bones. B is incorrect as aspirin increases bleeding risk.
Question 5 of 5
The client has developed graft versus host disease (GVHD) during treatment for acute lymphoblastic leukemia (ALL). The client has a generalized pruritic rash on the trunk and the extremities. What nursing measures should the nurse use to address this problem?
Correct Answer: B,C,D
Rationale: B: Antihistamines relieve itching. C: Cool water and mild soap soothe skin. D: Clipping nails and using lotions prevent scratching and moisturize skin. A is incorrect as bacitracin is for infections, not GVHD rash.