ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Question 1 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 2 of 5
Which of the following findings indicate that the client may be experiencing transplant rejection?
Correct Answer: B
Rationale: Elevated creatinine suggests kidney transplant rejection. Normal sodium , blood pressure , and no edema do not indicate rejection.
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 nurse is reviewing a client's CBC findings and discovers that the client's platelet count is 9,000/mm³. The nurse should monitor the client for which of the following conditions?
Correct Answer: B
Rationale: A platelet count of 9,000/mm³ increases spontaneous bleeding risk due to impaired clotting. Reflexes , oliguria , and infection are not directly related.
Question 5 of 5
A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hyperpigmentation is common in Addison's due to ACTH increase. Striations and hirsutism relate to Cushing's. Tremors are neurological.