ATI RN
ATI Advanced Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse is teaching a class at a community center to a group of young adult, adult, and older adult clients regarding regular screening recommendations for cancer prevention. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Annual fecal occult blood testing is recommended starting at age 45 for colorectal cancer screening.
Question 2 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: C
Rationale: Bone breakdown in multiple myeloma releases calcium, increasing levels.
Extract:
Nurses Notes
1730: Report received from PACU:
Indwelling urinary catheter draining 850 mL dark red urine with clots, taped to left thigh, taut, no kinks. Continuous bladder irrigation with sterile water running.
22 g peripheral IV to left forearm: lactated Ringer's 125 mL/hr continuous infusion via pump.
Surgical incision to suprapubic area covered with gauze dressing with minimal amount of sanguineous drainage.
Post Op Day 1
0800:
Indwelling urinary catheter draining pink urine with small clots, attached to securement device on thigh, drainage bag attached to bed Catheter tube without kinks and patent, 150 mL in last 8hr.
Pain level 7 on 0 to 10 scale. Receiving morphine via PCA per pain management.
Scrotal and penile is edematous along with decreased urinary output Ecchymosis to skin surrounding surgical incision, moderate amount of serous drainage, cleansed with wound cleanser, patted dry, covered with 4X4 gauze dressing
Reports feeling bloated. Bowel sounds hypoactive. Last bowel movement day before surgery.
Vital Signs
Post Op Day 0
1730
Temperature: 37.3°C (99.2°F) oral
Heart rate: 72/min
Respiratory rate: 16/min.
Blood pressure: 116/68 mm Hg
Sa02: 98 % on room air
Post Op Day 1
0800
Temperature: 36.7°C (98.1°F) oral
Heart rate: 84/min
Respiratory rate: 20/min
Blood pressure: 148/76 mm Hg
Sa02-98% on room air
Question 3 of 5
A nurse is caring for a client who has had an open radical prostatectomy. For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.
| Options | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Administer a docusate sodium suppository. | |||
| Apply ice to the scrotum and penis. | |||
| Administer an antispasmodic medication. | |||
| Place the client in the sitting position while in bed. | |||
| Teach the client how to use a leg bag. |
Correct Answer: A,B,C,E
Rationale: A: Docusate sodium prevents constipation, common post-surgery. B: Ice reduces scrotal/penile edema. C: Antispasmodics manage catheter-related spasms. D: Sitting may not be necessary and could cause discomfort. E: Leg bag education is essential for catheter management.
Extract:
Question 4 of 5
After radiation treatment, a client reports dryness, redness, and scaling of his skin occurring within the designated radiation treatment markings. The nurse should instruct the client to take which of the following actions?
Correct Answer: A
Rationale: Hydrating lotions alleviate dryness and scaling caused by radiation therapy.
Question 5 of 5
A nurse is preparing to administer 0.9% sodium chloride IV infusion 1-L bag at a rate of 200 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 5
Rationale:
Total volume (1000 mL) divided by infusion rate (200 mL/hr) equals 5 hours.