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
What should the nurse do first when a client with a head injury begins to have clear drainage from the nose?
Correct Answer: D
Rationale: Collecting the drainage first helps identify if it is cerebrospinal fluid (CSF) or nasal secretions and monitors its characteristics. Compressing nares may increase intracranial pressure. Decongestants may mask CSF leakage. Tilting the head back may cause aspiration or infection.
Question 3 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 4 of 5
A client diagnosed with esophageal varices has a Sengstaken-Blakemore tube. What is the most important safety intervention for this client?
Correct Answer: A
Rationale: Keeping scissors at the bedside allows quick tube removal in case of airway obstruction or bleeding, prioritizing safety. Mouth care prevents infections but is less critical. Deflating the balloon may cause bleeding. Monitoring IV fluids prevents fluid overload but is not the most important.
Question 5 of 5
A nurse is caring for a client with myasthenia gravis who is exhibiting signs of cholinergic crisis. Which medication does the nurse ensure is available to treat this crisis?
Correct Answer: A
Rationale: Atropine sulfate reverses cholinergic crisis by blocking acetylcholine effects. Pyridostigmine treats myasthenia gravis but not the crisis. Protamine sulfate reverses heparin. Acetylcysteine treats acetaminophen overdose.