Questions 168

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ATI Med Surg Nursing 300 day Exam Questions

Extract:


Question 1 of 5

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY.)

Correct Answer: A,C,D

Rationale: A: Pulmonary edema increases respiratory rate. C: Heart rate rises to compensate. D: Blood volume increases pressure. B and E are incorrect as temperature is unrelated, and hematocrit decreases.

Question 2 of 5

In planning teaching sessions for a client undergoing photodynamic therapy for lung cancer, the nurse should include which statement?

Correct Answer: C

Rationale: After photodynamic therapy, clients become extremely sensitive to light, including sunlight, which can cause skin damage, so avoiding sun exposure for at least 6 weeks is critical.

Question 3 of 5

The nurse is assessing a post-op thyroidectomy patient for bleeding. Which finding would indicate bleeding at the surgical site?

Correct Answer: D

Rationale: Blood on the pillow directly indicates bleeding from the surgical site, a critical finding requiring immediate assessment and intervention.

Question 4 of 5

The nurse, caring for a client diagnosed with testicular cancer, should anticipate a medical prescription for which of the following tumor marker studies? A/An:

Correct Answer: B

Rationale: hCG and AFP are specific tumor markers for testicular cancer, used to diagnose and monitor treatment response.

Question 5 of 5

The nurse receives report at 0700 on a client who has 500 mL of IV fluid left in the bag. The IV is running at 125 mL per hour. At what time should the nurse expect to change the bag (military time)?

Correct Answer: C

Rationale: 500 mL ÷ 125 mL/hour = 4 hours; 0700 + 4 hours = 1100, the time to change the IV bag.

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