Questions 49

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ATI nur 242 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is reviewing the laboratory results of a client who was admitted with metastatic bone cancer. The nurse should expect to find an increase in which of the following laboratory values?

Correct Answer: B

Rationale: Metastatic bone cancer increases calcium due to bone breakdown. Platelets , ANC , and WBCs are not typically elevated.

Question 2 of 5

A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus (SLE). The nurse should recognize the need for further teaching when the client identifies which of the following as a factor that can exacerbate SLE?

Correct Answer: A

Rationale: Exercise does not exacerbate SLE and may be beneficial. Infection , sunlight , and pregnancy can trigger flares.

Question 3 of 5

A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Muscle wasting and osteoporosis are expected due to cortisol's catabolic effects. Diaphoresis is not typical. Hypertension, not hypotension , is common. Weight gain, not loss , occurs.

Question 4 of 5

A nurse is teaching a group of middle adult clients about early detection of cancer. The nurse should include the American Cancer Society recommendation that men and women at average risk should have which of the following screening tests?

Correct Answer: D

Rationale: Colorectal cancer screening at age 45 aligns with updated ACS guidelines for average-risk adults. Cervical screening is specific to those with a cervix. Lung screening targets smokers. Age 50 is outdated.

Question 5 of 5

A nurse is caring for a client who is receiving cisplatin to treat bladder cancer. After several treatments, the client reports fatigue. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Checking CBC assesses cisplatin-induced anemia causing fatigue. Hepatomegaly , hypersensitivity , and hypercalcemia are less relevant.

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