ATI RN
ATI Med Surg Npro 2000 Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory results of a client who was admitted with a history of multiple myeloma. The nurse should expect to find an increase in which of the following laboratory values?
Correct Answer: B
Rationale: Hypercalcemia is common in multiple myeloma due to bone breakdown by cancerous plasma cells.
Question 2 of 5
A nurse is providing discharge teaching to a client who has a new prescription for lithium. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: A low sodium diet is not advised as it can increase lithium retention, leading to toxicity. Clients should maintain consistent sodium intake to stabilize lithium levels.
Question 3 of 5
A nurse is providing discharge instructions for a client who has congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?
Correct Answer: B
Rationale: Slowing down when tired after exercise shows effective self-management, respecting the body's limits in heart failure.
Question 4 of 5
A nurse is caring for an older adult client who has a WBC count of 2,000/mm^3^ after three rounds of chemotherapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Serving cooked fruit reduces the risk of pathogen exposure in an immunocompromised client, unlike raw fruits which may harbor bacteria.
Question 5 of 5
A physician orders a nasogastric (NG) tube for a young adult diagnosed with end-stage ovarian cancer and suspected of having a bowel obstruction. The newly hired nurse explains the procedure and rationale for NG tube placement. The client refuses to consent to NG tube placement, stating, 'I would rather keep vomiting than have the tube in my nose.' Following the American Nurses Association Code of Ethics for Nurses, what should the nurse do next?
Correct Answer: D
Rationale: Respecting the client's autonomy requires documenting their refusal and notifying the physician for alternative planning.