ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Calling about unusual bleeding shows understanding, as it may indicate thrombocytopenia. Avoiding crowds prevents infections, not spreading them. Dishwasher cleaning is unnecessary. Antiemetics should be taken before or at nausea onset.
Extract:
History and Physical
Vital signs
Physical Examination Results
Nurse’s Notes
Diagnostic Results
The client is a 54-year-old male diagnosed with Stage IIIB colorectal cancer six months ago. He is currently undergoing his fourth cycle of chemotherapy. The client has a history of hypertension, managed with lisinopril, and no known allergies. His initial presentation included fatigue, rectal bleeding, and a 5-kg unintentional weight loss over two months before diagnosis
Question 2 of 5
A nurse is caring for a 54-year-old male client in the oncology unit who is undergoing chemotherapy for colorectal cancer. The nurse must evaluate the client’s condition based on provided exhibits to determine which assessments indicate an improvement in the client’s condition.Which of the following assessments indicates an improvement in the client's condition?
Correct Answer: B,D,E
Rationale: No bleeding , normal WBC , and normal platelets indicate improved chemotherapy response. Oral health is less specific. Weight loss is not an improvement.
Extract:
Question 3 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 4 of 5
A nurse is planning to assign tasks for a group of clients. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)?
Correct Answer: A,D
Rationale: Weighing a client is a routine, non-invasive task suitable for APs. Ambulating a client is within AP scope to promote mobility. Discharge instructions and admission assessments require nursing judgment, unsuitable for APs. Checking blood products is a critical task for licensed nurses.
Question 5 of 5
A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse several questions about what the provider might be planning to do. Which of the following nursing responses should the nurse make?
Correct Answer: C
Rationale: Writing questions empowers the client for provider discussions. Internet articles may be unreliable. Assurance alone is passive. Waiting increases anxiety.