ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has acute leukemia and received chemotherapy 12 hours ago. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,E
Rationale: Using an electric shaver reduces the risk of bleeding due to low platelet counts post-chemotherapy. Avoiding crowds minimizes infection risk in immunocompromised patients. Monitoring for bruising helps detect bleeding complications early. Taking temperature weekly is insufficient, and a low-residue diet is not typically necessary.
Question 2 of 5
A nurse is caring for a client who is postoperative immediately following a pheochromocytoma removal. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: Monitoring blood pressure is critical post-pheochromocytoma removal due to potential hemodynamic instability from catecholamine fluctuations.
Question 3 of 5
A nurse is reviewing laboratory reports for a client who is taking NSAIDs for rheumatoid arthritis. Which of the following results should the nurse recognize as a possible adverse effect of NSAID therapy?
Correct Answer: D
Rationale: Positive fecal occult blood test is the correct answer. NSAIDs can cause gastrointestinal bleeding, which can be detected through a fecal occult blood test. This is a well-documented adverse effect of NSAID therapy and is a significant concern for patients on long-term NSAID treatment.
Question 4 of 5
A nurse is preparing to administer epoetin to a client who has anemia due to chemotherapy. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Monitoring hemoglobin levels before administering epoetin ensures safe and effective treatment, preventing complications like hypertension or thromboembolism if levels are too high.
Question 5 of 5
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should indicate to the nurse the need for immediate intervention?
Correct Answer: C
Rationale: A respiratory rate of 30/min is significantly elevated, indicating potential respiratory distress or neurological deterioration, requiring immediate intervention.