ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is reviewing a client's CBC findings and discovers that the client's platelet count is 9,000/mm³. The nurse should monitor the client for which of the following conditions?
Correct Answer: B
Rationale: A platelet count of 9,000/mm³ increases spontaneous bleeding risk due to impaired clotting. Reflexes , oliguria , and infection are not directly related.
Extract:
History and Physical
Vital Signs
Nurse’s Notes
Diagnostic Results
The client is a 63-year-old female with a history of Stage III colorectal cancer, for which she is receiving chemotherapy and radiation. The client denies any significant past medical history except for her cancer diagnosis. She reports that the excessive fatigue started 6 months ago and has become so intense that she is unable to perform her usual activities without needing to rest. She also mentions that she has been experiencing recurring headaches and unexplained bruising. The client has not been taking any prescribed medications but has been using ibuprofen frequently over the past 6 months for pain and joint swelling.
A nurse is caring for a 63-year-old female client in the emergency department (ED) with a history of colorectal cancer. The client is receiving chemotherapy and radiation. She presents with complaints of fatigue, unexplained bruising, and recurring headaches. The nurse must evaluate the situation based on the exhibits provided to determine the client’s risk factors and findings.
Question 3 of 5
The client is at risk for developing due to their
Correct Answer: A,F
Rationale: Low platelets increase DIC risk in cancer. Normal potassium , sodium , and oxygen rule out hyperkalemia, hyponatremia, and pneumonia. Normal creatinine makes nephritic syndrome unlikely.
Extract:
Question 4 of 5
Edema is a hallmark sign of SIADH caused by fluid shifts into the extracellular space. Clinical manifestations include concentrated urine output and overhydration. A patient is recovering from a lung resection because of malignant bronchogenic small cell carcinoma. His serum sodium is 120 mEq/L and SIADH is suspected. Which statement is accurate regarding SIADH?
Correct Answer: B
Rationale: SIADH involves excessive ADH from the posterior pituitary , causing hyponatremia. Rapid sodium correction risks neurological damage. Urine is concentrated, not diluted . Sodium decreases, not rises .
Question 5 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.