ATI RN
ATI nur 242 Med Surg Exam Questions
Extract:
Medical History
Vital Signs
Nurse’s Notes
Physical Examination
Diagnostic Results
The client is a 33-year-old male who has been previously healthy with no significant medical history. He was recently diagnosed with multiple myeloma, confirmed by a bone marrow biopsy. The diagnosis was made 2 days prior to his admission to the oncology unit, and he has started receiving an induction chemotherapy protocol that includes vincristine, dexamethasone, L-asparaginase, and anthracycline.
A nurse is caring for a 33-year-old male client in the oncology unit who was recently diagnosed with multiple myeloma. The client is currently receiving an induction chemotherapy protocol consisting of vincristine, dexamethasone, L-asparaginase, and anthracycline. The nurse must evaluate the client's condition based on the exhibits provided to determine appropriate actions and parameters to monitor.
Question 1 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Provide the client with a soft sponge toothbrush. |
| Maintain the client's diet. |
| Pad the siderails of the client's bed. |
| Request an antiemetic for the client. |
| Potential Condition Choices A. Diarrhea B. Mucositis C. Angioedema D. Seizures |
| Parameters to Monitor Choices A. Weight loss B. Intake and output C. Edema D. Steatorrhea |
Correct Answer: B,A,B,G
Rationale: Mucositis is indicated by mouth soreness. Soft toothbrush and diet maintenance address it. Monitor weight (H) and intake/output for progress.
Extract:
History and Physical
Vital signs
Physical Examination Results
Nurse’s Notes
Diagnostic Results
The client is a 54-year-old male diagnosed with Stage IIIB colorectal cancer six months ago. He is currently undergoing his fourth cycle of chemotherapy. The client has a history of hypertension, managed with lisinopril, and no known allergies. His initial presentation included fatigue, rectal bleeding, and a 5-kg unintentional weight loss over two months before diagnosis
Question 2 of 5
A nurse is caring for a 54-year-old male client in the oncology unit who is undergoing chemotherapy for colorectal cancer. The nurse must evaluate the client’s condition based on provided exhibits to determine which assessments indicate an improvement in the client’s condition.Which of the following assessments indicates an improvement in the client's condition?
Correct Answer: B,D,E
Rationale: No bleeding , normal WBC , and normal platelets indicate improved chemotherapy response. Oral health is less specific. Weight loss is not an improvement.
Extract:
Question 3 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 4 of 5
A nurse is planning care for a client who is to undergo a stem cell transplant. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Dedicated BP equipment prevents cross-contamination. Water intake is not specific. Negative airflow is for airborne infections. Vital signs need more frequent monitoring.
Question 5 of 5
A nurse is caring for a client who has a history of Addison's disease and is in Addisonian crisis. The client is lethargic. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Administering corticosteroids treats Addisonian crisis. Low-carb diets are inappropriate. Weighing is secondary. Fluid restriction is harmful; hydration is needed.