Questions 49

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ATI nur 242 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Muscle wasting and osteoporosis are expected due to cortisol's catabolic effects. Diaphoresis is not typical. Hypertension, not hypotension , is common. Weight gain, not loss , occurs.

Question 2 of 5

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Teaching about cortisol replacement is essential for Addison's management. Fluid volume excess is unlikely; deficit is more common. High-sodium diets are needed. Hypoglycemia, not hyperglycemia , is typical.

Extract:

History and Physical
Vital signs
Nurse’s Notes
Diagnostic Results
The client is a 60-year-old female diagnosed with Stage III breast cancer and undergoing chemotherapy with docetaxel. She has a history of hypertension and no known drug allergies. The client presents with a 2-day history of headache, muscle aches, fever, sore throat, and fatigue. Her last chemotherapy session was 10 days ago, and she has been feeling increasingly fatigued in the last week.
A nurse is caring for a 60-year-old female client in the oncology unit who is currently receiving chemotherapy for breast cancer. The client presents with a recent onset of symptoms, and the nurse must evaluate the best actions to take based on the exhibits provided.


Question 3 of 5

Which of the following actions should the nurse take?

Correct Answer: B,C,D

Rationale: Private room and mask protect against infection in immunosuppression. Fluid intake manages symptoms. Contact precautions are unnecessary. Antibiotics need provider orders.

Extract:


Question 4 of 5

A nurse is planning to assign tasks for a group of clients. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)?

Correct Answer: A,D

Rationale: Weighing a client is a routine, non-invasive task suitable for APs. Ambulating a client is within AP scope to promote mobility. Discharge instructions and admission assessments require nursing judgment, unsuitable for APs. Checking blood products is a critical task for licensed nurses.

Question 5 of 5

A nurse is caring for an older adult client who has a WBC count of 2,000/mm³ after three rounds of chemotherapy. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Cooked fruit reduces infection risk in neutropenia. Flower water harbors bacteria. Humidifiers risk mold. Denture cleaning is insufficient alone.

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