ATI RN
ATI SP 250 Exam 3 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is planning an educational program about basal cell carcinoma. Which of the following information should the nurse plan to include?
Correct Answer: B
Rationale: This is because basal cell carcinoma originates from the basal layer of the epidermis, which does not have access to blood vessels or lymphatics that can facilitate spreading to other organs. Basal cell carcinoma usually grows slowly and locally, and can be treated with surgery or radiation.
Question 2 of 5
A nurse is teaching a client who has hepatitis A about preventing transmission of the disease. Which is included in the teaching?
Correct Answer: A,B
Rationale: Hepatitis A is an acute viral infection that affects the liver and is transmitted by fecal-oral route. It can be spread by contaminated food or water, or by close contact with an infected person. Practicing effective hand hygiene can reduce the risk of ingesting or spreading the virus. Avoiding serving raw foods, especially shellfish, can prevent exposure to contaminated food sources.
Question 3 of 5
A nurse is caring for a client who is receiving mechanical ventilation and has an ideal weight of 60 kg. The nurse should expect the tidal volume to be set at which of the following?
Correct Answer: B
Rationale: This is because the recommended tidal volume for mechanical ventilation is 6 to 8 mL/kg of ideal body weight.
Therefore, for a client who has an ideal weight of 60 kg, the tidal volume should be between 360 and 480 mL.
Question 4 of 5
A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?
Correct Answer: C
Rationale: An escharotomy is a surgical procedure that involves making incisions in the eschar, which is the hard, blackened tissue that forms over a severe burn wound. The eschar can restrict blood flow and cause compartment syndrome, which can lead to tissue necrosis and nerve damage. By cutting through the eschar, the pressure is relieved and circulation is restored.
Question 5 of 5
A nurse is caring for a client who has asthma and is taking fluticasone. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: This is because fluticasone is an inhaled corticosteroid that suppresses the immune system and increases the risk of fungal infections in the mouth and throat. The nurse should instruct the client to rinse their mouth with water after each use of fluticasone and to report any signs of oral thrush.