ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about TNM staging with a client who has cancer. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: M1 indicates tumor metastasis to a single site, meaning cancer has spread to another organ or distant lymph node. N0 indicates no lymph node involvement. TIS means tumor in situ, not resolved. T4 indicates the largest tumor size.
Question 2 of 5
A nurse is monitoring a client who is receiving chemotherapy and has a platelet count of 20,000 mm3. Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: Bleeding is the priority due to low platelets, risking hemorrhage. Fatigue, anorexia, and fever are less urgent but require attention.
Question 3 of 5
Which of the following would be the most appropriate nursing diagnosis for a client admitted with Addison's disease?
Correct Answer: D
Rationale: Risk for injury is appropriate for Addison's disease due to hypotension from adrenal insufficiency, risking falls or shock. Impaired skin integrity, fluid overload, and excess nutrition do not reflect the primary issue.
Question 4 of 5
A client with chronic renal failure asks the nurse the effects of losing erythropoietin. Which of the following statements best explains the loss of this hormone?
Correct Answer: D
Rationale: Loss of erythropoietin results in anemia, as it stimulates red blood cell production. It does not directly affect immunologic function, may cause hypotension, and is not linked to elevated lipids.
Question 5 of 5
A client has an arteriovenous fistula in place for hemodialysis. What should the nurse do to assess the patency of the fistula?
Correct Answer: D
Rationale: Palpating for a vibrating sensation (thrill) assesses fistula patency by confirming blood flow. Irrigating, flushing, or infusing saline may cause bleeding, infection, or fluid overload.