ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should the nurse include in the teaching?
Correct Answer: B
Rationale: Restricting sodium manages hypertension and fluid retention in Cushing's. High carbs worsen hyperglycemia. Potassium is needed. Protein supports muscle.
Question 2 of 5
On a hot humid day, a nurse is caring for a client who is confused and presents with these vital signs: temperature 104.1°F (40.1°C), pulse 132 beats/min, respirations 26 breaths/min, and blood pressure 106/66 mmHg. What action would the nurse take to provide immediate appropriate care?
Correct Answer: C
Rationale: IV saline rapidly rehydrates and cools in heatstroke. Oral fluids are insufficient. Acetaminophen does not address hyperthermia. Rest delays critical treatment.
Question 3 of 5
The home health nurse in Wyoming gives instruction to an 80-year-old patient in the prevention of hypothermia. Which information should the nurse include?
Correct Answer: A,B,C,D
Rationale: All options prevent hypothermia: layers trap heat, warm fluids maintain temperature, gloves/earmuffs protect extremities, and a hat reduces head heat loss.
Question 4 of 5
A nurse is teaching a group of middle adult clients about early detection of cancer. The nurse should include the American Cancer Society recommendation that men and women at average risk should have which of the following screening tests?
Correct Answer: D
Rationale: Colorectal cancer screening at age 45 aligns with updated ACS guidelines for average-risk adults. Cervical screening is specific to those with a cervix. Lung screening targets smokers. Age 50 is outdated.
Question 5 of 5
A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A WBC count of 2300/mm³ indicates neutropenia, a critical chemotherapy side effect requiring immediate reporting. RBC , hemoglobin , and platelets are within normal ranges.