Questions 100

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ATI RN Adult Medical Surgical 2023 V Questions

Extract:


Question 1 of 5

A nurse working in the emergency department is admitting a client who has pertussis. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: A surgical mask protects against droplet transmission of pertussis during close contact.

Question 2 of 5

A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: Gentle flossing helps maintain oral hygiene without aggravating mucositis, unlike hydrogen peroxide, which can irritate, or inadequate brushing time.

Extract:

Medical History
HIV
Diagnostic Results
On Diagnosis:
• Total WBC 6,000/mm3 (5,000 to 10,000/mm3)
• Platelet count 154,000/mm3 (150,000 to 400,000/mm3) Sodium 139 mEq/L (136 to 145 mEq/L)
• Potassium 4.2 mEq/L (3.5 to 5 mEq/L)
• BUN 16 mg/dL (10 to 20 mg/dL)
3 Month Visit:
• Total WBC 5,500/mm3 (5,000 to 10,000/mm3)
• Platelet count 112,000/mm3 (150,000 to 400,000/mm3)
• Sodium 136 mEq/L (136 to 145 mEq/L)
• Potassium 3.8 mEq/L (3.5 to 5 mEq/L)
• BUN 18 mg/dL (10 to 20 mg/dL)


Question 3 of 5

A nurse in a health clinic is caring for a client. Drag 1 condition and 1 client finding to fill in the following sentence. The client is at risk for developing....... due to....

Correct Answer: B,F

Rationale: Low platelet count (112,000/mm³) increases bleeding risk, a concern in HIV due to bone marrow suppression.

Extract:


Question 4 of 5

A nurse in the emergency department is evaluating a young adult client for bacterial meningitis. Which of the following actions should the nurse take as part of the focused assessment?

Correct Answer: C

Rationale: Nuchal rigidity is a classic sign of meningitis, assessed by resistance or pain when flexing the neck, indicating meningeal irritation.

Question 5 of 5

A nurse is caring for a client who is experiencing an increase in intracranial pressure (ICP). The nurse should expect which of the following as an early manifestation of increased ICP?

Correct Answer: B

Rationale: Restlessness is an early sign of increased ICP, reflecting cerebral irritation before more severe symptoms appear.

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