ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 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: A
Rationale: The correct answer is A: Limit the number of health care workers entering the room. This is important because immunosuppressed clients are at higher risk for infections. By limiting the number of health care workers entering the room, the nurse can reduce the client's exposure to potential pathogens. This helps to maintain a clean and controlled environment for the client, decreasing the risk of acquiring infections.
Choice B is incorrect because social activities may expose the client to a higher risk of infections from others.
Choice C is incorrect because administering a flu vaccine during chemotherapy may not be effective due to the client's compromised immune system.
Choice D is incorrect as providing fresh fruits and vegetables does not directly address the risk of infections from health care workers.
Question 2 of 5
A nurse is teaching self-management to a client who has hepatitis B. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Rest frequently throughout the day. For a client with hepatitis B, rest is essential to allow the body to recover and heal. Hepatitis B can cause fatigue and weakness, so resting frequently helps to conserve energy and support the immune system in fighting the infection. Limiting salt intake (
Choice
A) is not directly related to managing hepatitis B. Avoiding alcohol (
Choice
B) is important but more for liver health in general, not specifically for hepatitis B. Engaging in light exercise regularly (
Choice
C) may be beneficial for overall health, but during active hepatitis B infection, rest is more crucial.
Question 3 of 5
A nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions in the client's plan of care?
Correct Answer: A
Rationale: The correct answer is A: Fresh flowers and potted plants in the room. Neutropenic clients are at high risk for infections due to low white blood cell count. Fresh flowers and potted plants can harbor bacteria and fungi, increasing the risk of infection. Restricting these items helps minimize exposure to pathogens.
Choices B and D are incorrect as long as visitors are screened for infections and the humidifier is cleaned regularly.
Choice C, foods high in vitamin C, is incorrect as these foods can actually help boost the immune system.
Question 4 of 5
A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation?
Correct Answer: A
Rationale: The correct answer is A: Different apical and radial pulses. In atrial fibrillation, the atria quiver instead of contracting effectively, leading to irregular heartbeat and pulse. This results in a discrepancy between the apical (heard by auscultation) and radial (felt at the wrist) pulses. Shortness of breath on exertion (
B), excessive sweating (
C), and systolic blood pressure of 150 mm Hg (
D) are not specific to atrial fibrillation and can occur in various conditions.
Question 5 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: A
Rationale: The correct answer is A: Basal cell carcinoma has a low incidence of metastasis. Basal cell carcinoma rarely metastasizes to other parts of the body, making it highly curable through surgical excision. This information is crucial for patients to understand the low likelihood of the cancer spreading.
Choices B and C are incorrect because basal cell carcinoma is not typically fatal nor does it metastasize early.
Choice D is incorrect as basal cell carcinoma is more common in older adults, not younger clients.