ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new prescription for prednisone to treat acute kidney rejection. The nurse should inform the client that which of the following is a therapeutic effect of this medication?
Correct Answer: D
Rationale: Prednisone reduces creatinine by decreasing inflammation in kidney rejection. It decreases bone density , increases infection risk , and does not affect blood flow .
Question 2 of 5
A nurse is admitting a child who has a total WBC count of 1200. Which of the following clients should the nurse place in the same room with this child?
Correct Answer: D
Rationale: A child with nephrotic syndrome poses minimal infection risk, suitable for a roommate with low WBC. Rheumatic fever , ruptured appendix , and cystic fibrosis carry higher infection risks.
Question 3 of 5
A nurse is preparing a client for a radiation treatment who is postoperative following a mastectomy. The nurse should inform the client to expect which of the following adverse effects from the radiation treatment?
Correct Answer: D
Rationale: Fatigue is a common radiation effect. Diarrhea is less likely with breast radiation. Anorexia is less common. Alopecia is more associated with chemotherapy.
Question 4 of 5
A patient has been admitted with tumor lysis syndrome (TLS). Which intervention would be incorporated into the plan of care to prevent the metabolic imbalances associated with this disorder?
Correct Answer: A
Rationale: Restricting potassium foods prevents hyperkalemia in TLS. Sodium polystyrene sulfonate treats hyperkalemia, not hypokalemia. Urine pH should be above 7.0 to prevent uric acid crystallization. Hydration, not fluid restriction , is needed.
Question 5 of 5
A nurse is caring for an older adult client who has a WBC count of 2,000/mm³ after three rounds of chemotherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Cooked fruit reduces infection risk in neutropenia. Flower water harbors bacteria. Humidifiers risk mold. Denture cleaning is insufficient alone.