ATI RN
ATI Advanced Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse is teaching a group of clients about first aid care for a bee sting. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Scraping the stinger prevents further venom release, reducing reaction severity.
Extract:
Nurses' Notes
Day 1
Client reports fatigue, weight loss, and anorexia, Chemotherapy started as prescribed.
4 weeks later
Client reports sore mouth and increased fatigue. Multiple bruises noted on elbows and legs.
Voided 350 mL of clear yellow urine.
Diagnostic Results
Day 1
Hct 38% (37% to 4796)
Hgb 13 g/dL (12 g/dL to 16 g/dL)
Platelet 180,000/mm3 (150,000 to 400,000/mm3)
Total WBC count 7000/mm? (5,000 to 10,000/mm3)
4 weeks later
Hct 35% (37% to 4796)
Hgb 11 g/dl. (12 g/dl to 16 g/dL)
Platelet 100,000/mm2 (150,000 to 400,000/mm)
Total WBC count 3000mm (5000 to 10,000/mm3).
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of lung cancer. For each potential provider's prescription at 4 weeks, click to specify if the prescription is anticipated, nonessential, or contraindicated for the client.
| Options | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Rinse the client's mouth with 0.9% sodium chloride every 4 hr. | |||
| Check the client's rectal temperature once daily. | |||
| Place the client in a private room. | |||
| Insert an indwelling urinary catheter. | |||
| Place the client on droplet precautions |
Correct Answer: A,C
Rationale: A: Mouth rinses prevent mucositis. C: Private rooms reduce infection risk in immunocompromised clients. B, D, E are not indicated.
Extract:
Question 3 of 5
Gastric lavage and administration of activated charcoal are prescribed for an unconscious patient who has been admitted to the emergency department (ED) after ingesting 30 lorazepam (Ativan) tablets. Which prescribed action should the nurse plan to do first?
Correct Answer: B
Rationale: Intubation ensures airway protection before other interventions in an unconscious patient.
Question 4 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.
Question 5 of 5
When requested to plan the response to the potential use of smallpox as a biological weapon, what should the emergency department (ED) nurse manager expect to obtain?
Correct Answer: D
Rationale: Vaccine is critical for smallpox prevention if administered early.