ATI RN
ATI Advanced Med Surg Exam 4 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: B,C,E
Rationale: B: Bowel pattern changes can signal colorectal cancer. C: Nonhealing sores may indicate skin cancer. E: Persistent cough can suggest lung or throat cancer.
Extract:
Nurses' Notes
40-year-old client is 2 days post-op following a renal transplant. Client alert and oriented x3. Sitting in high Fowler's. Skin warm and dry. Client reports pain at incision site as 5 on a scale of 0 to 10. Incision approximated, sutures intact. No drainage noted. Heart sounds regular. Lung sounds diminished throughout. Instructed to use incentive spirometer. Abdomen soft and non-distended. Bowel sounds hypoactive x4. 1+ peripheral edema noted bilaterally. Foley catheter patent, urine pink tinged. Urine output in last hour 1500mL
Vital Signs
Temperature 37.7° C (99.8° F)
Heart rate 110/min
Respiration rate 24/min
BP 94/56 mm Hg
Oxygen saturation 96% on room air
Question 2 of 5
A nurse is caring for a 40-year-old client in a transplant unit. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: A, A, C, A, B
Rationale: Hypovolemia indicated by high urine output and low BP. Lower bed and IV bolus address hypovolemia; monitor urine output and BP.
Extract:
Question 3 of 5
A nurse is caring for a client who has been exposed to an unknown chemical. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Instructing the client to remove contaminated clothing minimizes further exposure.
Question 4 of 5
A nurse is planning care for a client who is to undergo a stem cell transplant. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Immunocompromised clients need negative airflow rooms to minimize infection risk.
Question 5 of 5
A client is receiving treatment for stage IV ovarian cancer and asks the nurse to discuss her prognosis. The client plans to have aggressive surgical, radiation, and chemotherapy treatments. Which of the following prognoses should the nurse discuss with the client?
Correct Answer: A
Rationale: A guarded prognosis reflects uncertainty due to advanced disease and treatment intensity.