ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After several treatments, the client reports fatigue. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Checking CBC assesses cisplatin-induced anemia causing fatigue. Hepatomegaly , hypersensitivity , and hypercalcemia are less relevant.
Question 2 of 5
Edema is a hallmark sign of SIADH caused by fluid shifts into the extracellular space. Clinical manifestations include concentrated urine output and overhydration. A patient is recovering from a lung resection because of malignant bronchogenic small cell carcinoma. His serum sodium is 120 mEq/L and SIADH is suspected. Which statement is accurate regarding SIADH?
Correct Answer: B
Rationale: SIADH involves excessive ADH from the posterior pituitary , causing hyponatremia. Rapid sodium correction risks neurological damage. Urine is concentrated, not diluted . Sodium decreases, not rises .
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 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.
Question 5 of 5
A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus (SLE). The nurse should recognize the need for further teaching when the client identifies which of the following as a factor that can exacerbate SLE?
Correct Answer: A
Rationale: Exercise does not exacerbate SLE and may be beneficial. Infection , sunlight , and pregnancy can trigger flares.