ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hours as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?
Correct Answer: D
Rationale: Metoclopramide promotes gastric emptying , reducing nausea. It does not decrease acid , slow peristalsis , or relax muscles .
Question 2 of 5
A nurse is reviewing a client's CBC findings and discovers that the client's platelet count is 9,000/mm³. The nurse should monitor the client for which of the following conditions?
Correct Answer: B
Rationale: A platelet count of 9,000/mm³ increases spontaneous bleeding risk due to impaired clotting. Reflexes , oliguria , and infection are not directly related.
Question 3 of 5
On a hot humid day, a nurse is caring for a client who is confused and presents with these vital signs: temperature 104.1°F (40.1°C), pulse 132 beats/min, respirations 26 breaths/min, and blood pressure 106/66 mmHg. What action would the nurse take to provide immediate appropriate care?
Correct Answer: C
Rationale: IV saline rapidly rehydrates and cools in heatstroke. Oral fluids are insufficient. Acetaminophen does not address hyperthermia. Rest delays critical treatment.
Extract:
Medical History
Vital Signs
Nurse’s Notes
Physical Examination
Diagnostic Results
The client is a 33-year-old male who has been previously healthy with no significant medical history. He was recently diagnosed with multiple myeloma, confirmed by a bone marrow biopsy. The diagnosis was made 2 days prior to his admission to the oncology unit, and he has started receiving an induction chemotherapy protocol that includes vincristine, dexamethasone, L-asparaginase, and anthracycline.
A nurse is caring for a 33-year-old male client in the oncology unit who was recently diagnosed with multiple myeloma. The client is currently receiving an induction chemotherapy protocol consisting of vincristine, dexamethasone, L-asparaginase, and anthracycline. The nurse must evaluate the client's condition based on the exhibits provided to determine appropriate actions and parameters to monitor.
Question 4 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Provide the client with a soft sponge toothbrush. |
| Maintain the client's diet. |
| Pad the siderails of the client's bed. |
| Request an antiemetic for the client. |
| Potential Condition Choices A. Diarrhea B. Mucositis C. Angioedema D. Seizures |
| Parameters to Monitor Choices A. Weight loss B. Intake and output C. Edema D. Steatorrhea |
Correct Answer: B,A,B,G
Rationale: Mucositis is indicated by mouth soreness. Soft toothbrush and diet maintenance address it. Monitor weight (H) and intake/output for progress.
Extract:
Question 5 of 5
A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A WBC count of 2300/mm³ indicates neutropenia, a critical chemotherapy side effect requiring immediate reporting. RBC , hemoglobin , and platelets are within normal ranges.