ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is performing skin cancer screening on a group of clients. Which of the following findings should the nurse identify as an indication of melanoma?
Correct Answer: D
Rationale: A flat lesion with irregular borders suggests melanoma, characterized by asymmetry, color variation, and changing appearance. Other lesions are more typical of other skin cancers.
Question 2 of 5
A nurse is reviewing the medical record of a client to identify risk factors for colorectal cancer. The nurse should identify which of the following findings as increasing the client's risk?
Correct Answer: A
Rationale: Crohn's disease increases colorectal cancer risk due to chronic inflammation. High-fiber diets, age 46, and normal BMI are not significant risk factors.
Question 3 of 5
A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy?
Correct Answer: D
Rationale: Lymphedema contraindicates acupuncture due to infection and swelling risks in oedematous limbs. Other conditions are not contraindications.
Question 4 of 5
A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Palpating for a thrill confirms blood flow and patency of the arteriovenous graft. Other actions risk graft damage or complications.
Question 5 of 5
A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer?
Correct Answer: D
Rationale: Desmopressin, a synthetic ADH, treats diabetes insipidus by reducing urine output. Lithium and furosemide worsen it, and insulin is for diabetes mellitus.