ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse is assigned to care for a client diagnosed with autoimmune or idiopathic thrombocytopenic purpura (ITP). When reviewing the client's plan of care prior to caring for the client, the nurse should recognize that the priority concern in caring for the client is to monitor for:
Correct Answer: C
Rationale: Thrombocytopenia, or low platelet count, is the hallmark of ITP and the main concern for monitoring, as it increases the risk of bleeding and bruising.
Question 2 of 5
A nurse is performing an integumentary assessment for a client. Which of the following findings should the nurse identify as possible squamous cell carcinoma?
Correct Answer: C
Rationale: Squamous cell carcinoma can present as a firm nodule with a hard, scaly crust on the skin.
Question 3 of 5
A nurse suspects a client with myasthenia gravis is experiencing a myasthenic crisis. Which of the following interventions should the nurse take?
Correct Answer: C
Rationale: Intubation is a critical intervention in a myasthenic crisis due to the risk of respiratory failure from severe muscle weakness.
Question 4 of 5
A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during the assessment? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Enlarged distal extremities, coarse facial features, and hepatomegaly are classic signs of acromegaly due to excessive growth hormone effects.
Question 5 of 5
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?
Correct Answer: A
Rationale: This set of values is indicative of metabolic acidosis with respiratory compensation, which is common in chronic kidney disease due to the accumulation of acids in the blood and the lungs' attempt to compensate by retaining CO2.