ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform?
Correct Answer: A,B,C,D,E
Rationale: All interventions are relevant: neck vein distention monitors fluid overload; irregular heart rate checks for electrolyte imbalances; blood glucose tracks hyperglycemia; postural hypotension assesses blood pressure regulation; daily weighing monitors fluid retention.
Extract:
History and Physical
Vital Signs
Nurse’s Notes
Diagnostic Results
The client is a 63-year-old female with a history of Stage III colorectal cancer, for which she is receiving chemotherapy and radiation. The client denies any significant past medical history except for her cancer diagnosis. She reports that the excessive fatigue started 6 months ago and has become so intense that she is unable to perform her usual activities without needing to rest. She also mentions that she has been experiencing recurring headaches and unexplained bruising. The client has not been taking any prescribed medications but has been using ibuprofen frequently over the past 6 months for pain and joint swelling.
A nurse is caring for a 63-year-old female client in the emergency department (ED) with a history of colorectal cancer. The client is receiving chemotherapy and radiation. She presents with complaints of fatigue, unexplained bruising, and recurring headaches. The nurse must evaluate the situation based on the exhibits provided to determine the client’s risk factors and findings.
Question 2 of 5
The client is at risk for developing due to their
Correct Answer: A,F
Rationale: Low platelets increase DIC risk in cancer. Normal potassium , sodium , and oxygen rule out hyperkalemia, hyponatremia, and pneumonia. Normal creatinine makes nephritic syndrome unlikely.
Extract:
Question 3 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 4 of 5
A nurse is teaching a group of middle adult clients about early detection of cancer. The nurse should include the American Cancer Society recommendation that men and women at average risk should have which of the following screening tests?
Correct Answer: D
Rationale: Colorectal cancer screening at age 45 aligns with updated ACS guidelines for average-risk adults. Cervical screening is specific to those with a cervix. Lung screening targets smokers. Age 50 is outdated.
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: C
Rationale: Low WBC count indicates increased infection risk . Bleeding risk relates to platelets. Erythropoiesis agents treat anemia, not indicated here. Protein diet is secondary.