ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse is performing an integumentary assessment for a client. Which of the following findings should the nurse identify as possible squamous cell carcinoma?
Correct Answer: C
Rationale: Squamous cell carcinoma can present as a firm nodule with a hard, scaly crust on the skin.
Question 2 of 5
A nurse is assessing a client who has a herniated cervical intervertebral disc. Which of the following findings should the nurse expect? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Tingling in the arms, shoulder pain, muscle spasms, and stiff neck are expected due to nerve compression and inflammation from a herniated cervical disc.
Question 3 of 5
A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alterations?
Correct Answer: D
Rationale: Cheyne-Stokes respirations are characterized by a cyclic pattern of increasing and decreasing tidal volumes followed by periods of apnea, fitting the description provided.
Question 4 of 5
A nurse is educating coworkers on how to minimize back strain and avoid repeated episodes of low back pain. Which of the following strategies should the nurse include? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Applying heat, sleeping in a side-lying position with flexed knees, and avoiding prolonged sitting help reduce back strain and pain.
Question 5 of 5
A nurse is assessing a client who has a suspected diagnosis of Guillain-Barre syndrome (GBS). Which of the following questions should the nurse ask the client?
Correct Answer: B
Rationale: A recent influenza infection is relevant because GBS is often preceded by an infection, such as a respiratory or gastrointestinal viral infection. The immune system's response to this infection may mistakenly attack peripheral nerves, leading to GBS.