ATI RN
ATI SP 250 Exam 3 Med Surg Exam Questions
Extract:
Question 1 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: D
Rationale: Fresh flowers and potted plants can harbor bacteria and fungi, which pose a significant infection risk to neutropenic patients.
Therefore, these should be avoided in the patient’s room.
Question 2 of 5
A nurse is providing dietary teaching for a client who has chronic obstructive pulmonary disease. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Using a bronchodilator 1 hour before eating can improve breathing and oxygenation, making it easier for the client to eat. The nurse should also advise the client to drink fluids between meals, eat small frequent meals, and increase protein intake to maintain muscle mass and immune function.
Question 3 of 5
A nurse in a provider's office is assessing a client who has AIDS. The nurse notes that the client has multiple and widespread raised, purplish-brown skin lesions. The nurse should recognize that these findings indicate which of the following conditions?
Correct Answer: A
Rationale: Kaposi's sarcoma is a cancer that causes abnormal growth of blood vessels and connective tissue, resulting in purplish-brown lesions. It is associated with AIDS due to immunosuppression and human herpesvirus 8 infection. The lesions are caused by human herpesvirus 8 and can appear anywhere on the body, but are more common on the face, trunk, and extremities.
Question 4 of 5
A nurse is caring for a client who is taking aspirin for arthritis. The nurse should identify which of the following findings as an adverse effect of this medication?
Correct Answer: A
Rationale: This is because aspirin can cause salicylate toxicity, which can manifest as tinnitus, hearing loss, vertigo, headache, confusion, and hyperventilation. The nurse should monitor the client's serum salicylate level and advise the client to report any signs of toxicity to the provider.
Extract:
WBC
1,400/mm3
RBC
4.3 x 1012/L
Hgb
Hct
Platelets
Albumin
12.1 g/dL
36.5%
170,000/mm3
5 g/dL
Question 5 of 5
A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer. The client's most recent complete blood count (CBC) is shown in the table below. It is important for the nurse to consider which of the following for the client?
Correct Answer: A,C
Rationale: The client has an increased risk of infection due to a low WBC count (1,400/mm³), indicating a compromised immune system. The client has an increased risk for bleeding due to a low platelet count (170,000/mm³), which impairs clotting ability.