ATI RN
ATI Advanced Med Surg Exam 4 Questions
Extract:
Question 1 of 5
A nurse is teaching a group of clients about tick-borne illnesses. Which of the following information should the nurse include in the teaching regarding ticks?
Correct Answer: C
Rationale: Grasping the tick close to the skin with tweezers minimizes infection risk.
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
During the primary survey of a patient with severe leg trauma, the nurse observes that the patient's left pedal and posterior tibial pulses are absent, and the entire leg is swollen. Which action will the nurse take next?
Correct Answer: C
Rationale: Further assessment for the cause of decreased circulation is critical to prevent limb loss.
Question 4 of 5
Which finding indicates that the nurse should discontinue active rewarming of a patient admitted with hypothermia?
Correct Answer: B
Rationale: Active rewarming should stop at 94°F to avoid complications; passive rewarming continues.
Question 5 of 5
An occupational health nurse at a factory has been asked to investigate an employee injury claim. Which of the following information should the nurse review?
Correct Answer: B
Rationale: Workplace procedures and protocols are directly relevant to investigating injury circumstances.