ATI RN
ATI SP 250 Exam 3 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for a client who has deep partial- and full thickness burns to his chest, abdomen, and upper arms. What is the nurse's priority intervention for this client during the resuscitation phase of injury?
Correct Answer: B
Rationale: This is because inhalation injury can cause airway edema, obstruction, and respiratory failure, which can be life-threatening. The nurse should monitor the client's respiratory status, administer oxygen, and prepare for intubation if needed.
Question 2 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.
Question 3 of 5
A nurse is assessing a client who has basal cell carcinoma on her nose. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: Basal cell carcinoma is the most common type of skin cancer and usually occurs on sun-exposed areas of the skin. It is slow-growing and rarely metastasizes. It appears as a small, translucent papule with rolled borders that may ulcerate and bleed.
Question 4 of 5
A nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions in the client's plan of care?
Correct Answer: D
Rationale: Fresh flowers and potted plants can harbor bacteria and fungi, which pose a significant infection risk to neutropenic patients.
Therefore, these should be avoided in the patient’s room.
Question 5 of 5
A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?
Correct Answer: A
Rationale: Propranolol is a non-selective beta-blocker that can cause bronchoconstriction and worsen asthma symptoms. The nurse should clarify with the provider why this medication is ordered and if there are any alternatives that are safer for the client. The other medications are appropriate for a client who has asthma.