ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an older client on a medical-surgical unit. Which of the following interventions should be included in the plan of care?
Correct Answer: A
Rationale: Monitoring hydration status is critical for older adults to prevent dehydration-related complications. Physical activities may not always be safe. Medication administration is standard, not specific to older adults. Dietary education is secondary to immediate hydration needs.
Question 2 of 5
A nurse is evaluating a client's laboratory results. The nurse should recognize that an increase in the client's prostate specific antigen (PSA) laboratory value is indicative of which of the following diagnoses?
Correct Answer: D
Rationale: Elevated PSA is associated with prostatic cancer. PSA is specific to prostate cells, not linked to liver , breast , or colon cancers.
Question 3 of 5
A nurse in the emergency department is monitoring a client who is receiving vincristine through a peripheral line. The nurse should monitor the client for which of the following complications indicating the need to stop the infusion?
Correct Answer: A,B,E
Rationale: Resistance to flow , pain/swelling/redness , and no blood return indicate extravasation, requiring infusion stoppage. Anxiety/depression and nausea/vomiting are unrelated to IV complications.
Question 4 of 5
A nurse is teaching a client who has stage IV pancreatic cancer about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?
Correct Answer: B
Rationale: DIC involves abnormal coagulation with fibrinogen , causing clotting and bleeding. Heparin is not a lifelong solution. DIC is acquired, not genetic . Platelet counts decrease, not increase .
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 5 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.