Questions 49

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ATI nur 242 Med Surg Exam Questions

Extract:


Question 1 of 5

A female middle adult client tells a nurse that she tested positive for a mutant BRCA1 gene. The nurse should recognize that the client is at an increased risk for which of the following situations?

Correct Answer: C

Rationale: BRCA1 mutation increases breast cancer risk . It is not linked to thyroid cancer , Down syndrome , or Alzheimer's .

Question 2 of 5

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Hyperpigmentation is common in Addison's due to ACTH increase. Striations and hirsutism relate to Cushing's. Tremors are neurological.

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 providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should the nurse include in the teaching?

Correct Answer: B

Rationale: Restricting sodium manages hypertension and fluid retention in Cushing's. High carbs worsen hyperglycemia. Potassium is needed. Protein supports muscle.

Question 5 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.

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