ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who has a WBC count of 2,000/mm³ after three rounds of chemotherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Cooked fruit reduces infection risk in neutropenia. Flower water harbors bacteria. Humidifiers risk mold. Denture cleaning is insufficient alone.
Extract:
History and Physical
Vital signs
Physical Examination Results
Nurse’s Notes
Diagnostic Results
The client is a 54-year-old male diagnosed with Stage IIIB colorectal cancer six months ago. He is currently undergoing his fourth cycle of chemotherapy. The client has a history of hypertension, managed with lisinopril, and no known allergies. His initial presentation included fatigue, rectal bleeding, and a 5-kg unintentional weight loss over two months before diagnosis
Question 2 of 5
A nurse is caring for a 54-year-old male client in the oncology unit who is undergoing chemotherapy for colorectal cancer. The nurse must evaluate the client’s condition based on provided exhibits to determine which assessments indicate an improvement in the client’s condition.Which of the following assessments indicates an improvement in the client's condition?
Correct Answer: B,D,E
Rationale: No bleeding , normal WBC , and normal platelets indicate improved chemotherapy response. Oral health is less specific. Weight loss is not an improvement.
Extract:
Question 3 of 5
Which pathophysiologic events contribute to renal failure associated with tumor lysis syndrome?
Correct Answer: C
Rationale: Uric acid crystallization causes renal failure in TLS. Acidosis , elevated WBC , and hypocalcemia are not direct causes.
Question 4 of 5
A nurse is caring for a client who asks to be screened for cervical cancer because a relative has been diagnosed with it. Which of the following tests should the nurse expect the provider to use?
Correct Answer: A
Rationale: Pap smear is the primary cervical cancer screening test. Ultrasound , prolactin , and biopsy are not used for initial screening.
Question 5 of 5
A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Limiting healthcare workers reduces infection risk. Catheters increase infection risk. Fresh fruit may harbor bacteria. Temperature checks should be more frequent.