ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client about the seven warning signs of cancer. Which of the following signs should the nurse include as manifestations of cancer? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: The correct signs of cancer are A, B, C, and D. A nagging cough can indicate lung or throat cancer. A non-healing sore may be a sign of skin cancer. Changes in moles can signal skin cancer. Changes in bowel pattern can be indicative of colorectal cancer. These signs are commonly associated with various types of cancer and should not be ignored.
Choices E, F, and G are incorrect as bloating alone is not a specific warning sign of cancer.
Question 2 of 5
A nurse is teaching a client about the seven warning signs of cancer. Which of the following signs should the nurse include as manifestations of cancer? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: The correct signs of cancer are A, B, C, and D. A nagging cough can indicate lung or throat cancer. A non-healing sore may be a sign of skin cancer. Changes in moles can signal skin cancer. Changes in bowel pattern can be indicative of colorectal cancer. These signs are commonly associated with various types of cancer and should not be ignored.
Choices E, F, and G are incorrect as bloating alone is not a specific warning sign of cancer.
Question 3 of 5
A nurse in an emergency department is caring for a client who is suspected to have anaphylaxis following a bee sting. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Administer epinephrine. In anaphylaxis, prompt administration of epinephrine is crucial to reverse the severe allergic reaction and prevent further complications. Epinephrine helps to constrict blood vessels, increase heart rate, and open airways, which are essential in managing anaphylaxis. This immediate action takes priority over other interventions as it can be life-saving. Auscultating for wheezing (
A) is important but not as urgent as administering epinephrine. Assessing the client's level of consciousness (
B) can be done after administering epinephrine to stabilize the client. Monitoring for hypotension (
D) is important, but the first priority is to address the airway compromise and circulatory collapse with epinephrine.
Question 4 of 5
What is the purpose of administering diphenhydramine before a blood transfusion?
Correct Answer: D
Rationale: The correct answer is D:
To prevent urticaria. Diphenhydramine is an antihistamine that helps prevent allergic reactions, such as hives (urticaria), during blood transfusions. It does not expand blood volume (
A), enhance clotting factors (
B), or avoid fever and chills (
C) specifically related to blood transfusions. By blocking histamine release, diphenhydramine helps mitigate the risk of allergic reactions, making it the appropriate choice for pre-treatment before a blood transfusion.
Question 5 of 5
A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse’s priority?
Correct Answer: A
Rationale: The correct answer is A: CD4-T-cell count 180 cells/mm³. This is the priority because it indicates the client's immune status and progression of HIV. A low CD4 count indicates immunosuppression, increasing the risk of opportunistic infections. Monitoring CD4 levels guides treatment decisions. The other options are not as critical. B: Positive Western blot confirms HIV diagnosis but doesn't indicate disease progression. C: Platelets and D: WBC are important but not as immediate as monitoring immune function in HIV.