Questions 168

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ATI RN Test Bank

ATI Med Surg Nursing 300 Day Exam Questions

Extract:


Question 1 of 5

A client receives chemotherapy with an agent that causes thrombocytopenia. Which intervention is most important to teach the client?

Correct Answer: B

Rationale: Thrombocytopenia increases bleeding and bruising risk, making safety measures to prevent falls and injuries the most critical intervention.

Question 2 of 5

The nurse assesses the client's rhythm on the monitor. The patient is unresponsive with no pulse. The nurse identifies the rhythm as. The nurse's priority action is

Correct Answer: A,B

Rationale: Ventricular fibrillation is a chaotic rhythm requiring immediate defibrillation to restore cardiac output.

Question 3 of 5

The nurse educates a community group regarding measures that will assist in the prevention of skin cancer. Which of the following statements addresses the need for further teaching?

Correct Answer: C

Rationale: Decreasing tanning bed use to twice a month still poses a significant skin cancer risk due to UV exposure.

Question 4 of 5

The nurse is assessing the client with a recent pacemaker placement. The client's monitor is displaying what type of rhythm?

Correct Answer: D

Rationale: A dual-chamber (DD
D) pacemaker paces both the atrium and ventricle, as indicated by the rhythm strip showing pacing spikes for both chambers.

Question 5 of 5

The nurse is caring for a client who had a bowel resection 2 hours ago for adenocarcinoma removal. It would be necessary for the nurse to immediately notify the surgeon if the client's assessment revealed:

Correct Answer: C

Rationale: Increasing abdominal distention is a critical sign of potential complications like an anastomotic leak or obstruction, necessitating immediate surgical attention.

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