ATI RN
ATI SP 250 Exam 3 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse in a community health clinic is administering seasonal inactive influenza vaccine. Before administering it, the nurse must confirm that the client is not allergic to which of the following?
Correct Answer: C
Rationale: This is because some influenza vaccines are prepared using chicken eggs and may contain trace amounts of egg protein, which can cause an allergic reaction in some people.
Question 2 of 5
A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?
Correct Answer: A
Rationale: Eating a high fiber diet has not been proven to reduce the risk for developing skin cancer. Skin cancer is mainly caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources, such as tanning booths.
Extract:
Vital Signs
• Temperature 38.1° C (100.6° F)
• Heart rate 122/min
• Respiratory rate 26/min
• BP 136/85 mm Hg
• Oxygen saturation 93% on room air
Question 3 of 5
A nurse is caring for a client who has HIV. The client is at risk for developing .
Correct Answer: A
Rationale: Tuberculosis is a bacterial infection that affects the lungs and can be transmitted through respiratory droplets. People with HIV are more susceptible to tuberculosis because their immune system is weakened by the virus. Tuberculosis can cause fever, cough, weight loss, and night sweats. The client's vital signs indicate that they have a fever and a high heart rate and respiratory rate, which could be signs of tuberculosis.
Extract:
Question 4 of 5
A nurse is teaching a client about risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: This is because sunscreen protects the skin from ultraviolet (UV) radiation, which is a major risk factor for skin cancer. UV radiation can damage DNA and cause mutations that lead to abnormal cell growth and division. Sunscreen should be applied every day, regardless of the season or weather, as UV rays can penetrate clouds and reflect off snow and water.
Extract:
WBC
1,400/mm3
RBC
4.3 x 1012/L
Hgb
Hct
Platelets
Albumin
12.1 g/dL
36.5%
170,000/mm3
5 g/dL
Question 5 of 5
A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer. The client's most recent complete blood count (CBC) is shown in the table below. It is important for the nurse to consider which of the following for the client?
Correct Answer: A,C
Rationale: The client has an increased risk of infection due to a low WBC count (1,400/mm³), indicating a compromised immune system. The client has an increased risk for bleeding due to a low platelet count (170,000/mm³), which impairs clotting ability.